MEDICARE: SPENCER C GREER

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	363AM0700X	Medical Physician Assistant	PT2024-095	AR

General Provider Information

NPI Number	:	1063253342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SPENCER C GREER

Provider Business Mailing Address
First Line	:	4401 N LOCUST ST
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-8147
Country	:	US
Telephone Number	:	501-470-8450
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 W MARKHAM ST # 619
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-7101
Country	:	US
Telephone Number	:	501-686-5730
Fax Number	:

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

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	01/20/2026

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Directions to “ SPENCER C GREER ” Practice Location

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