Individual provider · Type 1 NPI
Spencer Tracy Zeavin, MD
Prison Health Clinic/Center · El Reno, OK
NPI number
1649670340
Active
Practice location
4205 E Highway 66
El Reno, OK 73036-9701
Fax (405) 319-7675
Mailing address
4205 Highway 66 West
El Reno, OK 73036-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | 01041949A (IN) |
Prison Health Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1649670340
Spencer Tracy Zeavin, MD's National Provider Identifier is 1649670340, issued on Aug 29, 2014. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in El Reno, OK. The record was last updated on Aug 29, 2014.