Individual
PHILLIP R SPANGLER
Active
Individual
PHILLIP R SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20915
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006085000
—
WV
05
—
2489883
—
WV
01
—
WV2714D
MEDICARE PTAN
WV
01
—
WV2714E
MEDICARE PTAN
WV
01
—
WV2714F
MEDICARE PTAN
WV
01
—
WV2714G
MEDICARE PTAN
WV
01
—
WV2714H
MEDICARE PTAN
WV
Enumeration date
03/29/2006
Last updated
11/14/2018
Update your record
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