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Individual

DR. VLADIMIR SPIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
114 W 11TH ST, SILVER CITY, NM 88061-5136
(575) 388-1511
(575) 388-3465
Mailing address
530 DEMOSS STREET, LORDSBURG, NM 88045-2618
(575) 542-8384
(575) 542-8367

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
032819
GA
208000000X
Pediatrics Physician
Primary
MD2008-0744
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NMA100399
MEDICARE PTAN
Enumeration date
01/17/2007
Last updated
08/19/2010
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