Whalio Doctors

NPI 1255413092

Clay R Spencer, MD

Practitioner Family Medicine Physician Walnut Ridge, AR

Practice location

Address
1210 W Main St, Walnut Ridge, AR 72476-1005
Phone
(870) 886-3543
Fax
(870) 886-3252
Mailing address
PO Box 719, Walnut Ridge, AR 72476-0719

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence E3566 (AR)

Registry record

NPI
1255413092
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Oct 2006
Record last updated
22 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.