Provider Demographics
NPI:1679523955
Name:SPIEGEL, WILLIAM ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ROBERT
Last Name:SPIEGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2910 CRESCENT AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2522
Mailing Address - Country:US
Mailing Address - Phone:205-380-8820
Mailing Address - Fax:205-380-8825
Practice Address - Street 1:2910 CRESCENT AVE STE 100
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-2522
Practice Address - Country:US
Practice Address - Phone:205-380-8820
Practice Address - Fax:205-380-8825
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2020-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.22863207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALH01870Medicare UPIN