Provider Demographics
NPI:1093774309
Name:SPANGLER, DAVID L (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:SPANGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 1ST ST N STE 200
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-9270
Mailing Address - Country:US
Mailing Address - Phone:205-664-9994
Mailing Address - Fax:205-621-9327
Practice Address - Street 1:408 1ST ST N STE 200
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-9270
Practice Address - Country:US
Practice Address - Phone:205-664-9994
Practice Address - Fax:205-621-9327
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14183207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL239665Medicaid
AL000087211Medicaid
ALC75027Medicare UPIN