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Individual

DR. DAVID ALLEN SPAK

Active
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Individual

DR. DAVID ALLEN SPAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M-15934
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD61176199
WA
2085R0202X
Diagnostic Radiology Physician
R7901
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2189192
WA
05
389378601
TX
01
389378602
OTHER (MEDICAID CSHCN)
TX
Enumeration date
04/11/2012
Last updated
10/04/2021
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