Provider Demographics
NPI:1528396173
Name:SPEIR, BETTY RUTH RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:BETTY RUTH
Middle Name:RUTH
Last Name:SPEIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BETTY RUTH
Other - Middle Name:RUTH
Other - Last Name:SPEIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 109
Mailing Address - Street 2:
Mailing Address - City:POINT CLEAR
Mailing Address - State:AL
Mailing Address - Zip Code:36564-0109
Mailing Address - Country:US
Mailing Address - Phone:251-990-9161
Mailing Address - Fax:866-218-9145
Practice Address - Street 1:17197 STILLWOOD LN
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-5217
Practice Address - Country:US
Practice Address - Phone:251-990-9161
Practice Address - Fax:866-218-9145
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4053174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist