Mark K Spencer is a Physician Assistant in Bend, Oregon. Mark K Spencer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark K Spencer is 1033114517. The last update date is 2018-03-17.
Mark K Spencer's current location address is Po Box 670, Bend, Oregon. You can contact this provider via phone number 5417065777 and fax number 5414296642. The mailing address for Mark K Spencer is Po Box 670, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark K Spencer |
|---|---|
| Address | Po Box 670, Bend, Oregon |
| Phone Number | 5417065777 |
| Fax Number | 5414296642 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1033114517 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | Po Box 670 |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 9770906700 |
| Phone Number | 5417065777 |
| Fax Number | 5414296642 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00617 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Mark K Spencer by the Centers for Medicare & Medicaid Services?
The Mark K Spencer has been assigned the NPI (National Provider Identifier) 1033114517. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark K Spencer's physical address?
The Mark K Spencer is physically located at Po Box 670, in the city of Bend, OR, with the postal code 9770906700.
What is the Mark K Spencer's area of specialization and corresponding taxonomy classification?
The Mark K Spencer's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did Mark K Spencer receive its 1033114517 assignment from the Centers for Medicare & Medicaid Services?
The Mark K Spencer was assigned its 1033114517 on 2005-06-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mark K Spencer last refreshed?
The information related to the Mark K Spencer, including its address, specialty, and other relevant details, was last updated on 2018-03-17.