Individual
DR. GARY G SPENCER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1602B CANTON ST, HOPKINSVILLE, KY 42240-1924
(270) 885-0953
(270) 886-5072
Mailing address
1602B CANTON ST, HOPKINSVILLE, KY 42240-1924
(270) 885-0953
(270) 886-5072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20270
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175867
ANTHEM
KY
05
—
64202708
—
KY
Enumeration date
08/10/2005
Last updated
07/08/2007
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