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Individual

DAVID SPANGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1008 INDIAN TRAIL DR, KINGSPORT, TN 37660-4623
(423) 247-2020
(423) 246-2396
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1485
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3599549
TN
Enumeration date
11/13/2006
Last updated
07/09/2007
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