Individual
PAUL THOMAS SPADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
533 RODNEY LN, VIRGINIA BEACH, VA 23464-2227
(757) 560-9388
(757) 523-9476
Mailing address
533 RODNEY LN, VIRGINIA BEACH, VA 23464-2227
(757) 560-9388
(757) 523-9476
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
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