Individual
DALE W SPONAUGLE
Active
Individual
DALE W SPONAUGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
164356
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020548502
UNIVERA HEALTHCARE
NY
01
—
000525331009
BCBS WNY
NY
05
—
01257134
—
NY
01
—
020382600
FEDERAL BLACK LUNG
—
01
—
040403006845
FIDELIS CARE NEW YORK
NY
01
—
117837FF
PREFERRED CARE
NY
01
—
164356
WORKERS COMPENSATION
NY
01
—
201590500
FEDERAL WORKERS COMP
—
01
—
5690902
INDEPENDENT HEALTH
NY
01
—
P010164356
ROCHESTER BCBS
NY
Enumeration date
07/28/2005
Last updated
08/30/2017
Update your record
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