Provider Demographics
NPI:1497866438
Name:SPENCE, ANA M (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:SPENCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4343 N SCOTTSDALE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3351
Mailing Address - Country:US
Mailing Address - Phone:480-866-8787
Mailing Address - Fax:480-863-9770
Practice Address - Street 1:2222 E HIGHLAND AVE STE 210
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4876
Practice Address - Country:US
Practice Address - Phone:480-866-8787
Practice Address - Fax:480-863-9770
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01054663A207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200332220AMedicaid
IN200332220AMedicaid
D13677Medicare UPIN