Spencer, Roger Allen

Spencer, Roger Allen is an individual health care provider with primary practice located at 751 S Bascom Ave Ob/Gyn Dept, San Jose CA 95128-2604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Spencer, Roger Allen can be contacted via phone (408) 885-5550.

Contact Information

Primary practice address
751 S Bascom Ave Ob/Gyn Dept San Jose CA 95128-2604
Phone: (408) 885-5550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G23444 California
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X G23444 California

Profile Details

NPI number 1861423121
LBN Legal business name Spencer, Roger Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861423121 NPPES
California MEDICAID 00G234440

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