Individual
DR. PATRICK L SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
425 W GRAND AVE, STE 1002, DAYTON, OH 45405-4775
(937) 298-5536
(937) 298-5596
Mailing address
425 W GRAND AVE, STE 1002, DAYTON, OH 45405-4775
(937) 226-7870
(937) 226-7829
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34-00-6232-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050739
—
OH
Enumeration date
08/15/2005
Last updated
04/12/2022
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