Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 35047604 | OH |
NPI | 1689745903 |
---|---|
Provider Name | Dr. William A Spohn |
First Address | Springfield, OH 45505-1965 |
Second Address | Springfield, OH 45505-1965 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2006 |
Last Update Date | 18/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0491070 | (05) | OH |
A15710 | (02) | OH |