| Doctor Name: | MR. DENNIS LEE SPENCER |
| NPI Number: | 1164411989 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C, MPAS |
| License Number: | PAD A 683 |
| Business Practice Address: | 5955 Zeamer Ave Elmendorf Afb, AK - 995063702 |
| Business Phone Number: | 9075802316 |
| Business Fax Number: | 9075802308 |
| Mailing Address: | 5955 Zeamer Ave, ELMENDORF AFB |
| State: | AK |
| Postal Code: | 995063702 |
| Phone Number: | 9075802316 |
| Fax Number: | 9075802308 |
| NPI Enumeration Date: | 10/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PAD A 683 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |