Dale W Sponaugle MD

NPI 1023018462 - Radiology - 2085R0202X

NPI Details
NPI 1023018462
Gender Male
Enumeration Date 07/28/2005
Last Updated 11/18/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
200 OHIO ST
MEDINA NY, 14103-1063, US
Phone (585) 798-8054
Fax (585) 798-8150
Business Location
908 NIAGARA FALLS BLVD
STE 208
N TONAWANDA NY, 14120-2019, US
Phone (716) 692-2160
Fax (716) 692-4342
Toxanomy
Taxonomy Code 2085R0202X
License State New York
License Number 164356
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According to our database, Dale W Sponaugle MD NPI is 1023018462, taxonomy code is 2085R0202X and license number is 164356, license state is located at New York. Dale W Sponaugle MD physically located at 200 Ohio St, Medina NY, 14103-1063. NPI Number Dale W Sponaugle MD has the Individual type.

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1023018462 NPI number is provided on an as is basis without warranty of any kind. 1023018462 is maintained by the National Plan & Provider Enumeration System. The contents of Dale W Sponaugle MD are for informational purposes only.