MEDICARE: DR. ROBIN ELIZABETH SPENCE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS 016463	PA
2	207Q00000X	Family Medicine Physician	083016	CT
3	207Q00000X	Family Medicine Physician	0102204866	VA

General Provider Information

NPI Number	:	1245410836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN ELIZABETH SPENCE D.O.

Provider Business Mailing Address
First Line	:	3112 THREE BRIDGES RD
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23112-4424
Country	:	US
Telephone Number	:	814-860-6384
Fax Number	:

Provider Business Practice Location Address
First Line	:	3112 THREE BRIDGES RD
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23112-4424
Country	:	US
Telephone Number	:	814-860-6384
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2007
Last Update Date	:	01/13/2026

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