Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 57139 | TN |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 57139 | TN |
NPI | 1407122203 |
---|---|
Provider Name | Spencer William Hauser |
First Address | Memphis, TN 38119-5742 |
Second Address | Memphis, TN 38119-0201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2012 |
Last Update Date | 01/07/2021 |