| Mr Donavan D Spencer, MD | |
|
205 South St, Fort Bragg, CA 95437-5540 | |
| (707) 964-1251 | |
| Not Available |
| Full Name | Mr Donavan D Spencer |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 205 South St, Fort Bragg, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609803691 | NPI | - | NPPES |
| 00G854550 | Other | CA | BS OF CA |
| 00G854550 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD26431 (Maine) | Secondary |
| 208000000X | Pediatrics | G85455 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Donavan D Spencer, MD 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 | Mr Donavan D Spencer, MD 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 |
Dr. William Matthew Mahon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-5696 Fax: 707-964-6274 | |
Dr. Jeffrey Malcolm Kraut, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-5696 Fax: 707-964-6274 | |
Gayle Holderness Tyerman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-357-1001 | |
Dr. Prakash P Devaskar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 River Dr, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
Christopher Robshaw, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 510 Cypress St Ste D, Fort Bragg, CA 95437 Phone: 707-964-1251 |