Provider Demographics
NPI:1346514635
Name:SPURZEM, ROBERT RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RAYMOND
Last Name:SPURZEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:76230 VIA MARIPOSA
Mailing Address - Street 2:
Mailing Address - City:INDIAN WELLS
Mailing Address - State:CA
Mailing Address - Zip Code:92210-8770
Mailing Address - Country:US
Mailing Address - Phone:760-568-0778
Mailing Address - Fax:760-568-9050
Practice Address - Street 1:76230 VIA MARIPOSA
Practice Address - Street 2:
Practice Address - City:INDIAN WELLS
Practice Address - State:CA
Practice Address - Zip Code:92210-8770
Practice Address - Country:US
Practice Address - Phone:760-568-0778
Practice Address - Fax:760-568-9050
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-04
Last Update Date:2012-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACFE 15733208600000X
COCFE 15733208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery