Individual
MITCHELL WADE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4530 E RAY RD STE 190, PHOENIX, AZ 85044-6098
(808) 275-4204
Mailing address
4530 E RAY RD STE 190, PHOENIX, AZ 85044-6098
(480) 827-5420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011824
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2022
Last updated
09/05/2025
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