Provider Demographics
NPI:1659533917
Name:SPIER, ROGER DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:DOUGLAS
Last Name:SPIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4625 SAGE CIR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-3329
Mailing Address - Country:US
Mailing Address - Phone:325-691-9141
Mailing Address - Fax:
Practice Address - Street 1:4625 SAGE CIR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-3329
Practice Address - Country:US
Practice Address - Phone:325-691-9141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101957208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery