Provider Demographics
NPI:1710099254
Name:SPEARING, MILDRED LOUISE (PA)
Entity Type:Individual
Prefix:
First Name:MILDRED
Middle Name:LOUISE
Last Name:SPEARING
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:MILDRED
Other - Middle Name:LOUISE
Other - Last Name:JUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:927 FRANKLIN ST SE
Mailing Address - Street 2:THE ORTHOPAEDIC CENTER
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4306
Mailing Address - Country:US
Mailing Address - Phone:256-539-2728
Mailing Address - Fax:256-428-3423
Practice Address - Street 1:927 FRANKLIN ST SE
Practice Address - Street 2:THE ORTHOPAEDIC CENTER
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4306
Practice Address - Country:US
Practice Address - Phone:256-539-2728
Practice Address - Fax:256-428-3423
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA737363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical