Individual
JEFFREY WADE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2115
(417) 820-5344
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008015955
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700049392
—
MO
Enumeration date
07/03/2008
Last updated
09/24/2024
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