Provider Demographics
NPI:1336310101
Name:BEHR, SPENCER C (MD)
Entity Type:Individual
Prefix:
First Name:SPENCER
Middle Name:C
Last Name:BEHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3155 FRONTERA WAY
Mailing Address - Street 2:APT 210
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-5771
Mailing Address - Country:US
Mailing Address - Phone:415-353-1905
Mailing Address - Fax:
Practice Address - Street 1:505 PARNASSUS RD
Practice Address - Street 2:ROOM M396
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-353-1905
Practice Address - Fax:415-353-1796
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1122062085B0100X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology