Individual
DR. SPENCER BROADY WITCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 BRAVO BLVD, GLASGOW, KY 42141-3478
(270) 651-2181
(270) 651-2183
Mailing address
108 BRAVO BLVD, GLASGOW, KY 42141-3478
(270) 651-2181
(270) 651-2183
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36426
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64033046
—
KY
Enumeration date
10/25/2005
Last updated
05/12/2011
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