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 |
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| Gender : | Male |
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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 |
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| 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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Jun, 2006 |
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| Last Updated On : | 11 Nov, 2022 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD26431 | ME |
| 208000000X | Pediatrics | Yes | G85455 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Donavan D Spencer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G854550 | Other (non-Medicare) | CA | BS of CA |
| 00G854550 | MEDICAID | CA | |
| 00G854551 | MEDICARE ID-Type Unspecified | CA | |
| G28103 | MEDICARE UPIN | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
510 CYPRESS ST STE D,
FORT BRAGG, CA, 95437-5411
United States | FORT BRAGG, CA | 707-964-1251 |
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 |
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| 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.