Individual
TAYLOR P. SPERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 776-7199
(317) 776-7921
Mailing address
4853 SOLUTIONS CTR, CHICAGO, IL 60677-4008
(260) 407-8000
(260) 407-8004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000972951
BCBS
—
Enumeration date
11/09/2015
Last updated
09/07/2016
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