Individual
DR. ANTHONY ROLAND SPEDALE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22862
AL
207R00000X
Internal Medicine Physician
24418
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051550636
—
AL
01
—
110221409
RAILROAD MEDICARE
—
Enumeration date
05/24/2005
Last updated
11/06/2020
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