Individual
DR. JAMES CREED SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2708 S RIFE MEDICAL LN STE 210, ROGERS, AR 72758-1456
(793) 383-8888
(479) 338-4453
Mailing address
2708 S RIFE MEDICAL LN STE 210, ROGERS, AR 72758-1456
(793) 383-8888
(479) 338-4453
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
20598
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100074920A
—
OK
01
—
1134209273
OK STATE EMPLOYEES (HEALTHCHOICE
OK
05
—
134328001
—
AR
01
—
295A
MEDICARE
AR
01
—
5I124
BLUE CROSS BLUE SHIELD
AR
01
—
P01068164
RAILROAD MEDICARE
—
Enumeration date
10/16/2006
Last updated
03/17/2022
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