Provider Demographics
NPI:1053724005
Name:SPENCER, JAYDEN A (MD)
Entity type:Individual
Prefix:DR
First Name:JAYDEN
Middle Name:A
Last Name:SPENCER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MS 4032
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-1847
Mailing Address - Fax:913-945-5062
Practice Address - Street 1:1746 COLE BLVD STE 150
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3267
Practice Address - Country:US
Practice Address - Phone:303-914-8800
Practice Address - Fax:303-716-3777
Is Sole Proprietor?:No
Enumeration Date:2014-06-07
Last Update Date:2020-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR.00616102085R0202X
KS04-410492085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology