Healthcare Provider Details

I. General information

NPI: 1528171311
Provider Name (Legal Business Name): DAVID DALE SPILKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 WASHINGTON ST
MONTEREY CA
93940-2409
US

IV. Provider business mailing address

4149 CREST RD
PEBBLE BEACH CA
93953-3008
US

V. Phone/Fax

Practice location:
  • Phone: 831-372-2273
  • Fax:
Mailing address:
  • Phone: 831-624-3886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberC36166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: