Individual
GREGORY SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3611 S REED RD, STE 214, KOKOMO, IN 46902-3806
(765) 864-8700
(765) 864-8715
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01028174A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01028174A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01028174A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312525
ANTHEM
IN
05
—
100171240
—
IN
Enumeration date
07/24/2006
Last updated
11/27/2023
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