Provider Demographics
NPI:1790777613
Name:SPERA, RICHARD V JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:V
Last Name:SPERA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:800 HUDSON WAY NW STE 2200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2962
Mailing Address - Country:US
Mailing Address - Phone:256-327-9729
Mailing Address - Fax:256-327-0981
Practice Address - Street 1:800 HUDSON WAY NW STE 2200
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2962
Practice Address - Country:US
Practice Address - Phone:256-327-9729
Practice Address - Fax:256-327-0981
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21563207R00000X, 207RI0200X
IN01079533A207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I446079OtherPTAN
AL154264Medicaid