Individual
DR. ERIC B. SPUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
00027460
AL
207W00000X
Ophthalmology Physician
Primary
01056324A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938312
—
AL
01
—
51534884
BLUE CROSS BLUE SHIELD
AL
01
—
P00327959
MEDICARE RAILROAD
AL
Enumeration date
05/08/2006
Last updated
06/25/2024
Update your record
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