Organization
JOSEPH D SPATARO MD PC
Active
Other names
Idlewild Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DAVID SPATARO MD (OWNER)
(704) 531-0990
Entity
Organization
Contact information
Practice address
6101 IDLEWILD RD, SUITE 300, CHARLOTTE, NC 28212-0517
(704) 531-0990
(704) 531-0464
Mailing address
6101 IDLEWILD RD, SUITE 300, CHARLOTTE, NC 28212-0517
(704) 531-0990
(704) 531-0464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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