Doctor Name: | THOMAS S SPENCER |
NPI Number: | 1295796985 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 22329 |
Business Practice Address: | 104 E Culver Rd Suite 103 Knox, IN - 465342216 |
Business Phone Number: | 5747722114 |
Business Fax Number: | 5747722802 |
Mailing Address: | 2335 W Brooks Bluff, NORTH JUDSON |
State: | IN |
Postal Code: | 46366 |
Phone Number: | 5749331420 |
Fax Number: | 5747722802 |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 07/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 22329 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |