| Doctor Name: | DR. CHARLES THOMAS SPENCER |
| NPI Number: | 1477844041 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 48869 |
| Business Practice Address: | 2d Battalion, 7th Marines, Battalion Aid Station Marine Corps Air Ground Combat Center Twentynine Palms, CA - 92278 |
| Business Phone Number: | 7608308493 |
| Business Fax Number: | |
| Mailing Address: | 1424 N Desoto St, CHANDLER |
| State: | AZ |
| Postal Code: | 852247850 |
| Phone Number: | 3143241724 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2011 |
| NPI Last Update Date: | 03/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 48869 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |