Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 335 | NM |
Y | 222Z00000X | Podiatrist | 335 | NM |
N | 213EP0504X | Public Medicine | 335 | NM |
N | 213EP1101X | Primary Podiatric Medicine | 335 | NM |
N | 111NR0200X | Radiology | 335 | NM |
N | 213ER0200X | Radiology | 335 | NM |
N | 2081S0010X | Sports Medicine | 335 | NM |
N | 213ES0000X | Sports Medicine | 335 | NM |
N | 213ES0103X | Foot & Ankle Surgery | 335 | NM |
NPI | 1881852978 |
---|---|
Provider Name | Dr. Loren Kemp Spencer |
First Address | Alamogordo, NM 88310-4611 |
Second Address | Alamogordo, NM 88310-4611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 09/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
50723278 | (05) | NM |