Individual
MAE DITTA SPAHR IX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 818-0563
(228) 818-0519
Mailing address
22 DOCTORS DR, SUITE C, OCEAN SPRINGS, MS 39564
(228) 818-0563
(228) 818-0519
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R852995
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116796
—
MS
Enumeration date
11/06/2006
Last updated
09/15/2008
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