Individual
DR. STEVEN D SPADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1456 SANTA CRUZ RD, TAOS, NM 87571-6375
(606) 813-6399
Mailing address
1456 SANTA CRUZ RD, TAOS, NM 87571-6375
(606) 813-6399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02142
KY
207Q00000X
Family Medicine Physician
Primary
A-1601-11
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522078
ANTHEM BCBS
KY
05
—
64021421
—
KY
01
—
P00665441
RR MEDICARE
—
Enumeration date
05/30/2006
Last updated
11/16/2015
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