Individual
JOHN F SPACCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7109 BACHMAN RD, SARDINIA, OH 45171-8242
(937) 446-2531
(937) 446-3441
Mailing address
7109 BACHMAN RD, SARDINIA, OH 45171-8242
(937) 446-2531
(937) 446-3441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35040550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0397155
—
OH
01
—
P00034375
MEDICARE RR
OH
Enumeration date
08/15/2005
Last updated
08/29/2011
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