Individual
DR. DON D. SPONENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R5004
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109537001
—
AR
05
—
200676823
—
MO
01
—
82204
AR BLUE SHIELD #
MO
Enumeration date
02/15/2007
Last updated
05/02/2013
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