Individual
A. DOUGLAS SPITALNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
MCXP-CCS-CR, GENERAL LEONARD WOOD COMMUNITY HOSPITAL, FT. LEONARD WOOD, MO 65473-1267
(573) 596-1764
Mailing address
PO BOX 2546, JOPLIN, MO 64803-2546
(620) 783-4441
(620) 783-4090
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
748
MN
213ES0131X
Foot Surgery Podiatrist
748
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594197100
—
MN
Enumeration date
06/13/2006
Last updated
02/13/2023
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