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NPI Code Detail

MEDICARE: DORTHEA SPENCER

MEDICARE:   DORTHEA  SPENCER
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
1156FX1900XOrthoptist

General Provider Information

NPI Number : 1225606320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORTHEA SPENCER
Provider Business Mailing Address
First Line : 2706 CROWN POINT AVE
Second Line :
City : OMAHA
State : NE
Zip : 68111-1329
Country : US
Telephone Number : 402-298-0336
Fax Number :
Provider Business Practice Location Address
First Line : 2706 CROWN POINT AVE
Second Line :
City : OMAHA
State : NE
Zip : 68111-1329
Country : US
Telephone Number :
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2021
Last Update Date : 06/15/2021

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Directions to “ DORTHEA SPENCER ” 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.