Healthcare Provider Details
I. General information
NPI: 1326272196
Provider Name (Legal Business Name): JAMES HAROLD SPANGLER III D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/08/2009
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
405 W GRAND AVE
DAYTON OH
45405-4720
US
IV. Provider business mailing address
4324 STRAIGHT ARROW RD
BEAVERCREEK OH
45430-1690
US
V. Phone/Fax
- Phone: 937-226-3200
- Fax:
- Phone: 937-689-9667
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 58.003036 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: