Sam Spencer, D.P.M.
Podiatrist, Foot & Ankle Surgery in Encinitas, SAN DIEGO. Individual provider (NPI-1).
NPI number1932274487
StatusActive
Last updated in NPPESFeb 11, 2016
Details
- NPI
- 1932274487
- Entity type
- Individual (NPI-1)
- Name
- Sam Spencer
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2006
- Last updated
- Feb 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | E4621 | CA | Yes |
Practice location
326 Encinitas BlvdSte 100
Encinitas, SAN DIEGO 92024-8703
United States Minor Outlying Islands
Phone 760-436-5533 · Fax 760-436-0611
Mailing address
326 Encinitas BlvdSte100
Encinitas, CA 92024-8703
Phone 760-436-5533 · Fax 760-436-0611
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