Individual
DR. SPENCER L CARLSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1518 WASHINGTON ST, PELLA, IA 50219-7580
(641) 255-2688
(641) 767-3103
Mailing address
1518 WASHINGTON ST, PELLA, IA 50219-7580
(641) 255-2688
(641) 767-3103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36471
IA
207Q00000X
Family Medicine Physician
E4698
AR
207Q00000X
Family Medicine Physician
M0031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490896
—
IA
05
—
1490896
—
IA
05
—
171434701
—
TX
05
—
2490896
—
IA
05
—
3490896
—
IA
05
—
4490896
—
IA
Enumeration date
12/29/2005
Last updated
06/06/2025
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