Individual
MR. MICHAEL P SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3617 SUNVALLEY DR, MIDWEST CITY, OK 73110-1223
(405) 605-1460
Mailing address
3617 SUNVALLEY DR, MIDWEST CITY, OK 73110-1223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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