Spencer Atkinson Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Fort Sam Houston, TX

NPI

1497144505

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

License number

39236 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2015-01-13

Last updated

2023-04-18