MEDICARE: DR. RICHARD V SPERA JR. MD

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	207R00000X	Internal Medicine Physician	21563	AL
2	207RI0200X	Infectious Disease Physician	01079533A	IN
3	207RI0200X	Infectious Disease Physician	21563	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	102I446079	OTHER	AL	PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790777613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD V SPERA JR. MD

Provider Business Mailing Address
First Line	:	800 HUDSON WAY NW STE 2200
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-2962
Country	:	US
Telephone Number	:	256-327-9729
Fax Number	:	256-327-0981

Provider Business Practice Location Address
First Line	:	800 HUDSON WAY NW STE 2200
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-2962
Country	:	US
Telephone Number	:	256-327-9729
Fax Number	:	256-327-0981

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	11/27/2023

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