Robert A. Spicer

Specialist · Bloomington, IN

Individual Active NPI

NPI number 1063719169

Practice location

5225 W Vernal Pike
Bloomington, IN 47404-9661
Phone
(812) 336-7521

Open in Google Maps

NPI record

NPI
1063719169
Entity type
Individual (Type 1)
Enumeration date
February 25, 2011
Last updated
February 25, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X MT20900603 IN

About Robert Spicer

Robert A. Spicer is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 5225 W Vernal Pike, Bloomington, IN 47404-9661. The NPI number 1063719169 was assigned on February 25, 2011 and the record was last updated on February 25, 2011.

Robert Spicer lists a license in the registry: #MT20900603 (IN) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert A. Spicer?

The NPI number is 1063719169.

What is the phone number of Robert Spicer?

The phone number listed for the practice location is (812) 336-7521.

Where is Robert Spicer located?

5225 W Vernal Pike, Bloomington, IN 47404-9661.

What is the taxonomy code for Robert Spicer?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Specialist providers in Bloomington

All Specialist providers in Bloomington, IN →