Donavan D Spencer in Fort Bragg - Pediatrics
Donavan D Spencer - NPI 1609803691
Donavan D Spencer is a Pediatrics in Fort Bragg, California. Donavan D Spencer practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Donavan D Spencer is 1609803691. The last update date is 2022-11-11.
Donavan D Spencer's current location address is 205 South St, Fort Bragg, California. You can contact this provider via phone number 7079641251. The mailing address for Donavan D Spencer is 205 South St, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donavan D Spencer |
|---|---|
| Address | 205 South St, Fort Bragg, California |
| Phone Number | 7079641251 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609803691 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2022-11-11 |
Provider Mailing Address Detail
| Address | 205 South St |
|---|---|
| City | Fort Bragg |
| State | California (CA) |
| Post Code | 954375540 |
| Phone Number | 7079641251 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD26431 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G854550 | CA | BS OF CA | |
| 00G854550 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Donavan D Spencer by the Centers for Medicare & Medicaid Services?
The Donavan D Spencer has been assigned the NPI (National Provider Identifier) 1609803691. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Donavan D Spencer is geographically located?
The Donavan D Spencer is physically situated at the following location: 205 South St, Fort Bragg, CA, 954375540.
What is Donavan D Spencer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Donavan D Spencer's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
When did Donavan D Spencer receive its 1609803691 assignment?
The Donavan D Spencer was assigned its 1609803691 on 2006-06-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Donavan D Spencer most recently updated or refreshed?
The details pertaining to the Donavan D Spencer, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-11-11.
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