Individual
HEATH SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5273
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01040615
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444330
—
IN
Enumeration date
05/13/2006
Last updated
04/13/2015
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