Individual
DR. SHAWN SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
Mailing address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
37237
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134285836
—
IA
Enumeration date
12/28/2006
Last updated
09/27/2013
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