Individual
ALEX MICHAEL SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 THOMPSON RD, COOS BAY, OR 97420-2195
(541) 269-0333
(541) 269-7389
Mailing address
1750 THOMPSON RD, COOS BAY, OR 97420-2195
(541) 269-0333
(541) 269-7389
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD197705
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500780317
—
OR
Enumeration date
07/15/2015
Last updated
07/29/2020
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