# MARK SPAW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184165805
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 105017 | GA | — |
| 207Y00000X | Otolaryngology Physician | 2025039094 | MO | Yes |
| 207Y00000X | Otolaryngology Physician | MD-20206 | HI | — |

## Other

- **Enumeration date:** 03/14/2017
- **Last updated:** 07/16/2026