Dr. Spencer Masiewicz, DO
Emergency Medicine in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1982145199
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1982145199
- Entity type
- Individual (NPI-1)
- Name
- Dr. Spencer Masiewicz
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2017
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | LL41037 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
809 82nd PkwyMyrtle Beach, SC 29572-4607
Phone 843-692-1752 · Fax 843-692-1904
Mailing address
809 82nd Parkway Attn GmeMyrtle Beach, SC 29572
Phone 510-407-2331
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