Individual
DIANA NICOLE SPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
JOHNS HOPKINS COMMUNITY PHYSICIANS - ODENTON, 1106 ANNAPOLIS ROAD, ODENTON, MD 21113
(410) 874-1400
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0085372
MD
208000000X
Pediatrics Physician
D0085372
MD
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/01/2014
Last updated
09/04/2018
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