Individual
JOHN G SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31953
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22596
PARTNERS
—
01
—
5367372
AETNA
—
05
—
5621186
—
VA
01
—
73371
MEDCOST
—
01
—
78559
BCBS
—
01
—
80183732
RR MEDICARE
—
05
—
8978559
—
NC
Enumeration date
11/30/2005
Last updated
03/25/2014
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