Basic Information
Provider Information
NPI: 1588650147
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPIEGEL
FirstName: ARTHUR
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7458 PINE FOREST RD
Address2:  
City: PENSACOLA
State: FL
PostalCode: 325268818
CountryCode: US
TelephoneNumber: 8504748773
FaxNumber: 8509410084
Practice Location
Address1: 7458 PINE FOREST RD
Address2:  
City: PENSACOLA
State: FL
PostalCode: 325268818
CountryCode: US
TelephoneNumber: 8504748773
FaxNumber: 8509410084
Other Information
ProviderEnumerationDate: 09/20/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XME0061159FLY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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