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Individual

KATIE LAUREN SPIRTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAA

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000305
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0235107
OH
01
14010447
CAQH
01
H580233
MEDICARE PTAN
OH
Enumeration date
06/29/2017
Last updated
12/30/2025
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