Individual
PAUL THOMAS SPADA
Active
Individual
PAUL THOMAS SPADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103000983
VA
213ES0131X
Foot Surgery Podiatrist
SC0032299L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009300449
—
VA
01
—
330051
BC/BS #
VA
01
—
480027059
RAILROAD M/C #
VA
Enumeration date
09/16/2006
Last updated
10/10/2012
Update your record
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