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NPI Code Detail

MEDICARE: DR. ALEC SPENCER D.C.

MEDICARE: DR. ALEC SPENCER D.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
1111N00000XChiropractor5213-12WI

General Provider Information

NPI Number : 1356887764
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEC SPENCER D.C.
Provider Business Mailing Address
First Line : 3980 W WEDINGTON DR
Second Line : STE 14
City : FAYETTEVILLE
State : AR
Zip : 72704-5791
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1271 N STEAMBOAT DR STE 1
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-6263
Country : US
Telephone Number : 479-435-6834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2017
Last Update Date : 05/17/2024

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Directions to “ DR. ALEC SPENCER D.C.” Practice Location

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