Individual
MARION LEE SPANGLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2722 MERRILEE DR, FAIRFAX, VA 22031-4420
(703) 698-4444
(703) 204-0116
Mailing address
2722 MERRILEE DR, FAIRFAX, VA 22031-4420
(703) 698-4444
(703) 204-0116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101253526
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133
CAREFIRST BCBS NCA
—
05
—
1316137714
—
VA
01
—
328509
KAISER
—
05
—
3810020392
—
WV
01
—
540846558
PHCS - MULTPLAN
VA
01
—
75733
AMERIGROUP
VA
01
—
8972897
AETNA HMO
VA
01
—
9891703
AETNA -- NON HMO
—
Enumeration date
07/31/2007
Last updated
09/13/2021
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