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Contact Information

JUSTIN R SPENCER, MD
6030 S MASON MONTGOMERY RD
MASON, OH45040-3706
 Phone: 513-246-7000
 Fax: 513-204-6352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JUSTIN R SPENCER · (Male)

NPI # 1164897062
Status Active
Credentials MD
Entity Individual
Enumeration date 12/03/2015
Last updated 12/15/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35133063
  • OH Medicaid 2565399
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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