Healthcare Provider Details

I. General information

NPI: 1316995236
Provider Name (Legal Business Name): ARTHUR WALTER SPIRO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 WULFF RD E
SEMMES AL
36575-5256
US

IV. Provider business mailing address

251 N BAYOU ST
MOBILE AL
36603-5827
US

V. Phone/Fax

Practice location:
  • Phone: 251-445-0582
  • Fax: 251-445-0579
Mailing address:
  • Phone: 251-690-8847
  • Fax: 251-690-8859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDO-295
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberDO 295
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: