Provider Demographics
NPI:1558360776
Name:SPENCER, DAVID A (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:SPENCER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3998 FAIR RIDGE DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2907
Mailing Address - Country:US
Mailing Address - Phone:703-293-9590
Mailing Address - Fax:703-293-9592
Practice Address - Street 1:INOVA ALEXANDRIA HOSPITAL
Practice Address - Street 2:4320 SEMINARY RD
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304
Practice Address - Country:US
Practice Address - Phone:703-504-3789
Practice Address - Fax:703-504-3556
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2008-08-12
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Provider Licenses
StateLicense IDTaxonomies
VA0101043294207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC022831F89Medicare PIN
C22112Medicare UPIN