SPENCER LEWIS MORTENSEN

FORT SMITH, AR
NPI1568716744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: UT  5587758-0501)
Enumeration Date2012-11-09
Last Update Date2018-12-18
Business Address
DR. SPENCER LEWIS MORTENSEN D.P.M
1500 DODSON AVE STE 260
FORT SMITH, AR 72901-5179
Phone number: 479-573-7905
Mailing Address
DR. SPENCER LEWIS MORTENSEN D.P.M
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR 72211-4393
Phone number: 501-812-7215
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