Individual
GERALD D SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 28TH ST S, SUITE 3, GREAT FALLS, MT 59405
(406) 455-5870
(406) 731-8079
Mailing address
1300 28TH ST S, SUITE 3, GREAT FALLS, MT 59405
(406) 455-5870
(406) 731-8079
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
5199
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099930
BLUE CROSS
MT
01
—
100016422
RAILROAD MEDICARE
—
05
—
48994
—
MT
Enumeration date
10/12/2006
Last updated
10/29/2009
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