Provider Demographics
NPI:1588650147
Name:SPIEGEL, ARTHUR (MD)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:SPIEGEL
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 1:7458 PINE FOREST RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-8818
Mailing Address - Country:US
Mailing Address - Phone:850-474-8773
Mailing Address - Fax:850-941-0084
Practice Address - Street 1:7458 PINE FOREST RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32526-8818
Practice Address - Country:US
Practice Address - Phone:850-474-8773
Practice Address - Fax:850-941-0084
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0061159207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27043YMedicare ID - Type Unspecified
FLG00767Medicare UPIN