Spicer, Mark Anthony

Spicer, Mark Anthony is an individual health care provider with primary practice located at 28078 Baxter Road Suite 430, Murrieta CA 92563-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Spicer, Mark Anthony can be contacted via phone (951) 290-4378.

Contact Information

Primary practice address
28078 Baxter Road Suite 430 Murrieta CA 92563-1404
Phone: (951) 290-4378
Fax: (951) 290-4095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X A68609 California

Profile Details

NPI number 1619905684
LBN Legal business name Spicer, Mark Anthony
Credentials PH.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Apr 8th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619905684 NPPES
California MEDICAID 00A686090

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