Healthcare Provider Details

I. General information

NPI: 1093716912
Provider Name (Legal Business Name): JAMES F SPIEGEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 03/19/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 NE BLAKELY DR STE 1090
ISSAQUAH WA
98029-6201
US

IV. Provider business mailing address

PO BOX 749730
LOS ANGELES CA
90074-9730
US

V. Phone/Fax

Practice location:
  • Phone: 425-313-4200
  • Fax: 425-313-4201
Mailing address:
  • Phone: 855-743-5921
  • Fax: 302-733-0854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD00035405
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: