Individual provider · NPI-1

Dr. Spencer Jay Aldridge, DO

Family Medicine · Des Moines, IA

NPI number1407479355
StatusActive
Last updated in NPPESMay 27, 2020

Details

NPI
1407479355
Entity type
Individual (NPI-1)
Name
Dr. Spencer Jay Aldridge
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
May 27, 2020
Certification date
May 27, 2020
Last updated
May 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR-11859IAYes

Practice location

1801 Hickman Rd
Des Moines, IA 50314-1597

Phone 515-282-8551 · Fax 515-282-2332

Mailing address

1801 Hickman Rd
Des Moines, IA 50314-1597

Phone 515-282-8551 · Fax 515-282-2332

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