Individual
JERRY DOUGLAS SPENCER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6825 16TH ST NW, WASHINGTON, DC 20306-0003
(301) 319-0000
Mailing address
668 PINEWOOD DR, ANNAPOLIS, MD 21401-7135
(410) 571-8228
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
D0051775
MD
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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