Individual
DR. MICHAEL D. SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 EL PASO RD, RUIDOSO, NM 88345-6033
(505) 257-4061
Mailing address
121 EL PASO RD, RUIDOSO, NM 88345-6033
(505) 257-4061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88-74
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3020
—
NM
Enumeration date
08/09/2005
Last updated
12/14/2011
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