Individual
DR. JONATHAN L SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
965 SHAMROCK LN, CORRY, PA 16407-9121
(814) 664-4641
(814) 663-9900
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2507
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34007573
OH
207P00000X
Emergency Medicine Physician
Primary
O5009254C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016621180015
—
PA
Enumeration date
03/14/2006
Last updated
12/11/2018
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