Individual
JEFFREY CLARK SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14730 FRED AMITY RD, FREDERICKTOWN, OH 43019-9776
(740) 694-1343
(740) 694-1369
Mailing address
809 COSHOCTON AVE, SUITE B, MOUNT VERNON, OH 43050-1900
(740) 397-7550
(740) 397-7640
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
35040551
OH
Other
Enumeration date
03/30/2006
Last updated
10/19/2007
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