Provider Demographics
NPI:1326303603
Name:SPIRES, T JOSEPH D (DPM)
Entity Type:Individual
Prefix:DR
First Name:T JOSEPH
Middle Name:D
Last Name:SPIRES
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:800 HIGHLANDER POINT DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-9465
Mailing Address - Country:US
Mailing Address - Phone:812-542-4921
Mailing Address - Fax:812-949-5966
Practice Address - Street 1:1919 STATE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4929
Practice Address - Country:US
Practice Address - Phone:812-944-2663
Practice Address - Fax:812-981-7285
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2020-12-03
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Provider Licenses
StateLicense IDTaxonomies
IN07001210A213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201290910Medicaid
IN542260064Medicare PIN