Individual
JOHN MICHAEL SPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120
(870) 424-4470
Mailing address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120
(870) 424-4470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N7593
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115393001
—
AR
Enumeration date
08/01/2006
Last updated
08/27/2013
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