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NPI Code Detail

MEDICARE: ALYCIA GENE SPINNER MD

MEDICARE:   ALYCIA GENE SPINNER  MD
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
1207Y00000XOtolaryngology Physician17733NV
2207Y00000XOtolaryngology PhysicianMD2022-1290NM
3207YP0228XPediatric Otolaryngology Physician17733NV
4390200000XStudent in an Organized Health Care Education/Training Program
5207YP0228XPediatric Otolaryngology PhysicianMD2022-1290NM

General Provider Information

NPI Number : 1396980629
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYCIA GENE SPINNER MD
Provider Business Mailing Address
First Line : 800 BRADBURY DR SE STE 116
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-4310
Country : US
Telephone Number : 505-272-1476
Fax Number :
Provider Business Practice Location Address
First Line : 7801 ACADEMY RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-3379
Country : US
Telephone Number : 505-272-6452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2008
Last Update Date : 10/23/2024

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Directions to “ ALYCIA GENE SPINNER MD” Practice Location

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