Individual
DR. EDWARD LEWIS SPELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 BOULDER AVE, HIGHLAND, CA 92346
(909) 862-1191
Mailing address
1615 ORANGE TREE LN, REDLANDS, CA 92374-4501
(909) 786-0725
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
031860
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001318600
—
CT
01
—
00131860000
BLUE CROSS FAMILY PLAN
—
01
—
010031860CT01
BLUE CROSS ANTHEM
—
01
—
031860
CONNECTI CARE
—
01
—
061325634
COMM INS
—
01
—
06132S634
AETNA
—
01
—
0613Z5634
FIRST HEALTH
—
01
—
0983647004
CIGNA
—
01
—
130009173
RR MEDICARE
—
01
—
140400
WORK COMP
—
01
—
250952200
DEPT OF LABOR
—
01
—
NHS133
OXFORD
—
01
—
OR0088
HEALTHNET
—
Enumeration date
06/12/2006
Last updated
05/15/2018
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