Individual
DR. ERIC B. SPUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8244 E US HIGHWAY 36 STE 200, AVON, IN 46123-9621
(317) 272-4242
Mailing address
1030 FAIRFAX PARK, TUSCALOOSA, AL 35406-2806
(205) 752-1584
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
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