Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 5285 | OK |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 0S014660 | PA |
NPI | 1639487499 |
---|---|
Provider Name | Dr. Spencer Edward Voth |
First Address | Tulsa, OK 74136-3331 |
Second Address | Tulsa, OK 74136-7818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2010 |
Last Update Date | 13/04/2021 |