Individual
ELYSIA SOPHIA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-2700
Mailing address
336 HIGHLAND DR, JUNEAU, AK 99801-1443
(919) 951-5085
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
147657
AK
208800000X
Urology Physician
201801258
NC
Other
Enumeration date
06/19/2013
Last updated
08/28/2019
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