Individual
DR. J. MICHAEL SPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD014427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005831423
—
VA
05
—
0227812000
—
WV
01
—
100026287
PHP TENNCARE
TN
01
—
283685
ANTHEM
VA
01
—
3122028
BCBS OF TN
TN
05
—
3700035
—
TN
01
—
4546278
AETNA
TN
05
—
64776750
—
KY
01
—
TN0112
UNITED HEALTHCARE RIVER V
TN
Enumeration date
09/12/2005
Last updated
05/27/2008
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