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Individual

RICHARD M SPALDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2051 CLEVIDENCE BLVD, STE. 1, CLARKSVILLE, IN 47129-2278
(812) 280-9145
(812) 280-6627
Mailing address
PO BOX 766351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01034874A
IN
207R00000X
Internal Medicine Physician
20244
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000050972
ANTHEM - NCMA
05
100191730
IN
01
110138279
RAILROAD MEDICARE
IN
01
1193933
CHA / NCMA
01
120321P
SIHO - NCMA
01
2445888000
PAD - NCMA
01
2559361-001
CIGNA / NCMA
01
50004526
PASSPORT -NCMA
05
64202443
KY
01
P00711467
RAILROAD MEDICARE KY
KY
Enumeration date
04/20/2006
Last updated
01/22/2021
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