Individual
BRADLEY I. SPIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 EAST ROLLING OAKS DRIVE, SUITE#115, THOUSAND OAKS, CA 91361-1036
(805) 230-3166
(602) 298-2686
Mailing address
415 EAST ROLLING OAKS DRIVE, SUITE#115, THOUSAND OAKS, CA 91361-1036
(805) 230-3166
(602) 298-2686
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G62100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G621001
—
CA
05
—
GR0052480
—
CA
05
—
GR0052481
—
CA
05
—
OOG621000
—
CA
Enumeration date
08/05/2006
Last updated
07/22/2009
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