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General NPI Number Information
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NPI Number | 1790361558
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Entity Type | Individual
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Provider Name | JOSHUA RAY SPAW MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 10500 MONTGOMERY RD
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City | MONTGOMERY
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State | OH
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Zip | 45242-4402
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Country | US
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Telephone | 513-865-1111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 632572
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City | CINCINNATI
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State | OH
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Zip | 45263-2572
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Country | US
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Telephone | 513-817-1150
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.153337
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License Number State | OH
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