| Spencer Family Practice Llc | |
|
8061 Springfield Rd Glenn Dale MD 20769-9605 | |
| (434) 390-6641 | |
| (240) 206-3855 |
| Full Name | Spencer Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8061 Springfield Rd, Glenn Dale, Maryland |
| Authorized Official Name and Position | Mary L Spencer (CEO/ OWNER) |
| Authorized Official Contact | 4343906641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Family Practice Llc 8061 Springfield Rd Glenn Dale MD 20769-9605 Ph: (434) 390-6641 | Spencer Family Practice Llc 8061 Springfield Rd Glenn Dale MD 20769-9605 Ph: (434) 390-6641 |
| NPI Number | 1568032464 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568032464 | NPI | - | NPPES |
| 225826900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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