Individual
SPIRO B ANTONIADES
Active
Individual
SPIRO B ANTONIADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D0047688
MD
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
D0047688
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032500700
—
MD
01
—
F 482 / 001
BLUE CHOICE
MD
01
—
LZ51/546417-06, 07,
BS / BC OF MD
MD
01
—
LZ51/546417-08, 09
BC /BS OF MD
MD
Enumeration date
09/05/2006
Last updated
12/03/2024
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