Healthcare Provider Details

I. General information

NPI: 1235114976
Provider Name (Legal Business Name): DAVID M SPALDING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 09/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 11TH AVE S SUITE 510
BIRMINGHAM AL
35205-3410
US

IV. Provider business mailing address

PO BOX 55310
BIRMINGHAM AL
35255-5310
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-8347
  • Fax: 205-930-8340
Mailing address:
  • Phone: 205-731-9701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number7366
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: