Individual
DR. SCOTT ALAN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7000 EUCLID AVE, SUITE 101, CLEVELAND, OH 44103-4014
(216) 231-5612
Mailing address
6000 ROCKSIDE WOODS BLVD, INDEPENDENCE, OH 44131-2330
(216) 231-3300
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-2444-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0935322
—
OH
01
—
480017770
RR MEDICARE BFAC
OH
01
—
480031326
RAIL ROAD MEDICARE
OH
01
—
CH 5179
RR MEDICARE GROUP CFAC
OH
01
—
CI 5538
RR MEDICARE GROUP BFAC
OH
Enumeration date
06/22/2005
Last updated
02/28/2013
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