Individual
DR. JOSHUA MICHAEL SPORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 521-8260
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-16228
AR
208M00000X
Hospitalist Physician
E-16228
AR
Other
Enumeration date
03/23/2021
Last updated
10/29/2024
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