Individual
STEFAN SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5021
Mailing address
5690 SW REDTOP PL, CORVALLIS, OR 97333-1359
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD19988
OR
Other
Enumeration date
06/23/2006
Last updated
10/23/2007
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