Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 35299 | AL |
NPI | 1114243003 |
---|---|
Provider Name | Emily Louise Spangler |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35294-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 08/08/2016 |