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Individual

SARAH C SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
15765 KINSLEY RD, NINILCHIK, AK 99639
(907) 567-3970
(907) 567-3902
Mailing address
PO BOX 39386, NINILCHIK, AK 99639-0386
(907) 567-3970
(907) 567-3902

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6673
AK
207Q00000X
Family Medicine Physician
T0864
ME
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MEDO6673
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432681299
ME
Enumeration date
09/14/2006
Last updated
01/08/2024
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