Individual
ROGER ALLEN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, OB/GYN DEPT, SAN JOSE, CA 95128-2604
(408) 885-5550
Mailing address
14960 QUITO RD, LOS GATOS, CA 95032-1660
(408) 354-4359
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G23444
CA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G23444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G234440
—
CA
Enumeration date
07/05/2006
Last updated
02/27/2012
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