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Contact Information

SPENCER L MORTENSEN, D.P.M
1500 DODSON AVE STE 260
FORT SMITH, AR72901-5179
 Phone: 479-573-7905
 Fax: 479-573-7906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SPENCER L MORTENSEN · (Male)

NPI Number 1568716744
Status Active
Credentials D.P.M
Entity Individual
Enumeration date 11/09/2012
Last updated 12/18/2018 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 5587758-0501
Hospital affiliation(s)
  • SPARKS REGIONAL MEDICAL CENTER - (Acute Care)
    1001 TOWSON AVENUE
    FORT SMITH, AR 72902
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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