MR. PHILLIP MATTHEW SPENCER PA-C NPI 1073993556

NPI Information

NPI: 1073993556
Provider Name: MR. PHILLIP MATTHEW SPENCER, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: BANNER CANCER CENTER SPECIALISTS LLC

PECOS Registration: Yes

Address:
2525 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008
Phone: (602) 344-1015
Get Directions

MR. Phillip Matthew Spencer, PA-C is a surgical physician assistant in Phoenix, AZ with 9 years of experience. MR. Phillip Matthew Spencer, PA-C NPI is 1073993556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2525 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008
Phone: (602) 344-1015
Fax: (602) 344-0718

The NPI 1073993556 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 5/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		6048	ARIZONA	No
2	363AS0400X	Physician Assistant	Surgical	6048	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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