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NPI Code Detail

MEDICARE: SPENCER GREY

MEDICARE: SPENCER GREY
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
11710I1002XIndependent Duty Corpsman

General Provider Information

NPI Number : 1861753030
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER GREY
Provider Business Mailing Address
First Line : PO BOX 48
Second Line :
City : OQUOSSOC
State : ME
Zip : 04964-0048
Country : US
Telephone Number : 703-232-2733
Fax Number :
Provider Business Practice Location Address
First Line : PSC 819 BOX 45
Second Line :
City : FPO
State : AE
Zip : 09645-0001
Country : US
Telephone Number : 314-727-2895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2012
Last Update Date : 04/13/2026

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Directions to “ SPENCER GREY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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