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Individual

JAMES CONRAD SPILS

Active
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Individual

JAMES CONRAD SPILS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3440
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0149083
WA DEPT. OF LABOR
WA
01
050084272
MEDICARE RAILROAD
AK
01
8428492
WA MEDICAID
WA
01
995202149
OFFICE OF WORKER'S COMP
WA
05
MD16001
AK
Enumeration date
10/18/2005
Last updated
02/22/2011
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