Provider Demographics
NPI:1407059272
Name:SPICER, TODD ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:ARTHUR
Last Name:SPICER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26391 KILKARNEY
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-6707
Mailing Address - Country:US
Mailing Address - Phone:949-702-3020
Mailing Address - Fax:949-276-4703
Practice Address - Street 1:600 CORPORATE DR STE 190
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2109
Practice Address - Country:US
Practice Address - Phone:949-276-4700
Practice Address - Fax:949-276-4703
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor