Individual
STEPHEN MEREDITH SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8040 CLEARVISTA PKWY STE 490, INDIANAPOLIS, IN 46256-5604
(317) 621-5450
(317) 621-5453
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01080343A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300015887
—
IN
Enumeration date
05/23/2013
Last updated
11/27/2023
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