Organization
JOHN W. SPURLOCK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W SPURLOCK MD (OWNER)
(610) 868-5780
Entity
Organization
Contact information
Practice address
433 E BROAD ST, BETHLEHEM, PA 18018-6336
(610) 868-5780
Mailing address
433 E BROAD ST, BETHLEHEM, PA 18018-6336
(610) 868-5780
(610) 868-5589
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
035725E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1704151
HIGHMARK BLUE SHIELD
—
01
—
50047463
CAPITAL BLUE CROSS
—
01
—
DD1455
PALMETTO GBA
—
01
—
F29457
UPIN
—
Enumeration date
06/13/2006
Last updated
07/13/2010
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