Individual
RICHARD DEAN SPADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
991 MEDICAL PARK DR, SUITE 201, MAYSVILLE, KY 41056-8764
(606) 759-9011
(606) 759-0676
Mailing address
991 MEDICAL PARK DR, SUITE 201, MAYSVILLE, KY 41056-8764
(606) 759-9011
(606) 759-0676
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01045146
IN
208600000X
Surgery Physician
Primary
01045146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200103270
—
IN
Enumeration date
01/12/2007
Last updated
05/21/2013
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