| Organization Name: | THOMAS E. SPICER, MD, PC |
| NPI Number: | 1033342563 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS E SPICER (OWNER) |
| Mailing Address: | 1208 Hilltop Dr Ste 103 Rock Springs |
| State: | WY US |
| Postal Code: | 829015858 |
| Phone Number: | 3073628211 |
| Fax Number: | 3073823451 |
| NPI Enumeration Date: | 09/01/2009 |
| NPI Last Update Date: | 09/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 2513A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |