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DR. JOSEPH WILLIAM SPICKLER M.D.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1922278472

Individual Registrant:
DR. JOSEPH WILLIAM SPICKLER M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
3600 KNOB CONE DR  KELSEYVILLE, CA 95451-9046 US
Tel: 303-842-9157  Fax: --

Contact information for business:
3600 KNOB CONE DR  KELSEYVILLE, CA 95451-9046 US
Tel: 303-842-9157  Fax: --

Registration Information:
NPI: 1922278472
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N174400000XOther Service Providers
Specialist
CO20296
Y174400000XOther Service Providers
Specialist
CA72780

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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