Individual
DAVID C SPANN
Active
Individual
DAVID C SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
39400
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09605078
—
MS
05
—
160377001
—
AR
05
—
207435702
—
MO
05
—
3331699
—
TN
01
—
4104211
BLUECROSS BLUESHIELD
TN
01
—
83550
BLUECROSS BLUESHIELD
AR
01
—
P00269245
MEDICARE RAILROAD
—
Enumeration date
05/23/2006
Last updated
12/21/2016
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