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SPENCER TRACY ZEAVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4205 E HIGHWAY 66, EL RENO, OK 73036-9701
(405) 319-7499
(405) 319-7675
Mailing address
4205 HIGHWAY 66 WEST, EL RENO, OK 73036-1000
(405) 319-7499
(405) 319-7675

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
01041949A
IN

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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