Organization
ROBERT G. SPENCER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GORDON SPENCER MD (OWNER)
(580) 623-2233
Entity
Organization
Contact information
Practice address
203 N WEIGLE AVE, WATONGA, OK 73772-3840
(580) 623-2233
(580) 623-2232
Mailing address
PO BOX 60, WATONGA, OK 73772-0060
(580) 623-2233
(580) 623-2232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23186
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200007580D
—
OK
Enumeration date
10/02/2006
Last updated
12/20/2011
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