Individual
MR. DONAVAN D SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 SOUTH ST, FORT BRAGG, CA 95437-5540
(707) 964-1251
Mailing address
205 SOUTH ST, FORT BRAGG, CA 95437-5540
(707) 964-1251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G85455
CA
208000000X
Pediatrics Physician
MD26431
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G854550
BS OF CA
CA
05
—
00G854550
—
CA
Enumeration date
06/27/2006
Last updated
11/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us