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PATRICIA K SPENCER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914-1204
(401) 432-2520
(401) 432-2457
Mailing address
20 CATAMORE BLVD, EAST PROVIDENCE, RI 02914-1204
(401) 432-2520
(401) 432-2457

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5831
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000001988
NHPRI
01
004370
BLUECHIPSENIORS
01
005831
BLUESHIELD
01
1600203
UNITEDHEALTHPLANS
01
240159
RIHPILGRIM
01
5831
FEPBLUECROSS
01
6192238
HEALTHYSTART
01
7000445
RIMEDICALASSISTANCE
Enumeration date
10/13/2005
Last updated
07/08/2007
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