Individual
DR. JOSEPH TIMOTHY SPARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 EXECUTIVE DR STE 201, MARION, OH 43302-6302
(740) 387-3087
(740) 382-5034
Mailing address
125 EXECUTIVE DR STE 201, MARION, OH 43302-6302
(740) 387-3087
(740) 382-5034
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-036582
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256229
—
OH
Enumeration date
03/09/2006
Last updated
11/03/2009
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