Provider Demographics
NPI:1265484018
Name:SPELLMAN, CHRISTOPHER NAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:NAWN
Last Name:SPELLMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6221 METROPOLITAN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-3096
Mailing Address - Country:US
Mailing Address - Phone:760-799-3699
Mailing Address - Fax:760-633-3370
Practice Address - Street 1:6221 METROPOLITAN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-3096
Practice Address - Country:US
Practice Address - Phone:760-799-3699
Practice Address - Fax:760-633-3370
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-09-07
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Provider Licenses
StateLicense IDTaxonomies
CAA95995207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02655498Medicaid
NY02655498Medicaid
NYI28325Medicare UPIN