Individual
STEVEN K SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9400
(603) 650-0921
Mailing address
1 MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4579
NH
207N00000X
Dermatology Physician
6800
VT
207ND0900X
Dermatopathology Physician
4579
NH
207ND0900X
Dermatopathology Physician
6800
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000180
—
NH
05
—
0004232
—
VT
Enumeration date
10/04/2006
Last updated
07/18/2007
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