Individual
DUSTIN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5376
(304) 422-0405
Mailing address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5376
(304) 422-0405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3722
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2018
Last updated
08/02/2021
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