MEDICARE: WILLIAM M SPITLER III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD-014350-E	PA

General Provider Information

NPI Number	:	1013912435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM M SPITLER III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3200
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17604-3200
Country	:	US
Telephone Number	:	717-544-3900
Fax Number	:	717-544-3910

Provider Business Practice Location Address
First Line	:	2108 HARRISBURG PIKE
Second Line	:	STE 100
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-544-3900
Fax Number	:	717-544-3910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/08/2007

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