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Individual

JON A SPAR

Active
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Individual

JON A SPAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
85-291
NM
2085R0204X
Vascular & Interventional Radiology Physician
85-291
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001634
LOVELACE HEALTH/SALUD
NM
05
13797
NM
01
201009513
PRESBYTERIAN HEALTH/SALUD
NM
05
293431
AZ
01
NM009U95
BCBS
NM
01
P00218005
RAILROAD MEDICARE
01
PROVP16183
MOLINA
NM
Enumeration date
02/03/2006
Last updated
01/02/2020
Update your record

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