Individual
MR. GREGORY S SPAYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
10590 N MERIDIAN ST # 105, CARMEL, IN 46290-1028
(317) 583-7800
(317) 583-7818
Mailing address
13188 N 103RD DR, STE 200, SUN CITY, AZ 85351-3064
(602) 209-1212
(623) 875-8761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004767A
IN
363A00000X
Physician Assistant
2219
AZ
363A00000X
Physician Assistant
99323
MT
363AS0400X
Surgical Physician Assistant
Primary
10004767A
IN
Other
Enumeration date
09/07/2005
Last updated
04/08/2025
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