Individual
CRAIG W SPELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5379
(432) 703-5972
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5379
(432) 703-5972
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J2351
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
J2351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125474003
—
TX
Enumeration date
04/17/2006
Last updated
02/04/2021
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