MEDICARE: CAPLE A. SPENCE M.D. P.C.

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	332B00000X	Durable Medical Equipment & Medical Supplies		OK
2	207T00000X	Neurological Surgery Physician	26541	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124273784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPLE A. SPENCE M.D. P.C.

Provider Business Mailing Address
First Line	:	8121 NATIONAL AVE
Second Line	:	SUITE 210
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-7530
Country	:	US
Telephone Number	:	405-455-3393
Fax Number	:	405-455-7192

Provider Business Practice Location Address
First Line	:	8121 NATIONAL AVE
Second Line	:	STE. 210
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73110-7530
Country	:	US
Telephone Number	:	405-455-3393
Fax Number	:	405-455-7192

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CAPLE A SPENCE
Credential	:	M.D.
Telephone Number	:	405-628-6808

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	03/25/2015

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Directions to “CAPLE A. SPENCE M.D. P.C. ” Practice Location

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