Individual
MARK ANTHONY SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
28078 BAXTER ROAD, SUITE 430, MURRIETA, CA 92563-1404
(951) 290-4378
(951) 290-4095
Mailing address
PO BOX 7270, MORENO VALLEY, CA 92552-7270
(951) 656-1500
(951) 656-1510
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A68609
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A686090
—
CA
Enumeration date
06/29/2006
Last updated
04/08/2015
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