Mr. Donavan D Spencer

MD | Pediatrics | Male

Mr. Donavan D Spencer, MD is a Fort Bragg, California based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Mr. Donavan D Spencer is 205 South St, Fort Bragg, California - 95437-5540. He can be contacted on phone at 707-964-1251. Mr. Donavan D Spencer is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Donavan D Spencer is 1609803691 which was assigned by NPPES on 27 Jun, 2006 and it was last updated on 11 Nov, 2022. Mr. Donavan D Spencer license number is G85455 for Pediatrics (208000000X) in California.
Mr. Donavan D Spencer is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Donavan D Spencer basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Mr. Donavan D Spencer
Credential :MD
Gender :Male
Business Address:
Mr. Donavan D Spencer address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :205 South St
Fort Bragg, CA, 95437-5540
United States
Phone Number :707-964-1251
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1609803691
NPI Entity Type : Individual
First Enrolment Date : 27 Jun, 2006
Last Updated On : 11 Nov, 2022
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Donavan D Spencer are as mentioned. Primary taxonomy code for Mr. Donavan D Spencer, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNoMD26431ME
208000000XPediatricsYesG85455CA
Legacy Identifiers:
Other legacy medical identifiers of Mr. Donavan D Spencer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
00G854550Other (non-Medicare)CABS of CA
00G854550MEDICAIDCA
00G854551MEDICARE ID-Type UnspecifiedCA
G28103MEDICARE UPIN
Other Practice Locations:
Practice AddressCity, StatePhone Number
510 CYPRESS ST STE D,
FORT BRAGG, CA, 95437-5411
United States
FORT BRAGG, CA707-964-1251
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :205 South St
Fort Bragg, CA, 95437-5540
United States
Phone Number :707-964-1251
Business Location:
Patients can refer following map for directions to Mr. Donavan D Spencer practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.