Individual
EVAN C SPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47747-0001
(812) 450-2240
(812) 450-2710
Mailing address
PO BOX 3366, EVANSVILLE, IN 47732-3366
(812) 450-2240
(812) 450-2710
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01041146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100242910
—
IN
05
—
64877178
—
KY
Enumeration date
07/01/2006
Last updated
02/27/2018
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