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NPI Code Detail

MEDICARE: SPENCER MICHAEL RICHARDSON MD

MEDICARE: SPENCER MICHAEL RICHARDSON MD
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
1207X00000XOrthopaedic Surgery Physician1026612MA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1427677384
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER MICHAEL RICHARDSON MD
Provider Business Mailing Address
First Line : 1555 ESTATE DR
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-6967
Country : US
Telephone Number : 931-446-1928
Fax Number :
Provider Business Practice Location Address
First Line : 720 ESKENAZI AVE RM F2-163
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5187
Country : US
Telephone Number : 317-278-5835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2020
Last Update Date : 06/02/2026

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