Spedale, Anthony Roland

Spedale, Anthony Roland is an individual health care provider with primary practice located at 210 Westside Dr , Dothan AL 36303-1928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Spedale, Anthony Roland can be contacted via phone (334) 793-5074.

Contact Information

Primary practice address
210 Westside Dr Dothan AL 36303-1928
Phone: (334) 793-5074
Fax: (334) 793-6460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24418 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22862 Alabama

Profile Details

NPI number 1699778662
LBN Legal business name Spedale, Anthony Roland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699778662 NPPES
Other 110221409 RAILROAD MEDICARE
MEDICAID 051550636 RAILROAD MEDICARE

Popular Providers