Provider Demographics
NPI:1417963315
Name:SPRIGGS, DANIEL HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:HOWARD
Last Name:SPRIGGS
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 1:116 CARONDOLET CT W
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-5717
Mailing Address - Country:US
Mailing Address - Phone:251-709-9920
Mailing Address - Fax:251-545-4963
Practice Address - Street 1:116 CARONDOLET CT W
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-5717
Practice Address - Country:US
Practice Address - Phone:251-709-9920
Practice Address - Fax:251-545-4963
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00013749207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000093102Medicaid
C72824Medicare UPIN
000093102Medicare ID - Type Unspecified