MEDICARE: DR. GUIDO G SPANGHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0101240041	VA

General Provider Information

NPI Number	:	1740204320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUIDO G SPANGHER M.D.

Provider Business Mailing Address
First Line	:	1901 N US HIGHWAY 87
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-0283
Country	:	US
Telephone Number	:	432-268-7594
Fax Number	:	432-268-7827

Provider Business Practice Location Address
First Line	:	1901 HIGHWAY 87 N
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-0283
Country	:	US
Telephone Number	:	432-268-7594
Fax Number	:	432-268-7827

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	10/31/2007

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