Individual
DR. ERIC G. SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19797 HIGHWAY 5, MOUNTAIN VIEW, AR 72560-9299
(870) 269-4144
(870) 269-5723
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E0234
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125539001
—
AR
05
—
207733510
—
MO
01
—
5J468
AR BLUE SHIELD #
AR
Enumeration date
11/01/2006
Last updated
03/06/2013
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