Individual
DR. JAMES SPERO PANAGIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
NATIONAL NAVAL MEDICAL CENTER, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889-0001
(301) 295-0730
Mailing address
9724 LINDSEY BLAKE LN, GREAT FALLS, VA 22066-3819
(703) 759-6632
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0101034541
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101034541
MEDICAL LICENSE
VA
Enumeration date
01/30/2006
Last updated
07/08/2007
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