Provider Demographics
NPI:1316995236
Name:SPIRO, ARTHUR WALTER (DO)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:WALTER
Last Name:SPIRO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 N BAYOU ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36603-5827
Mailing Address - Country:US
Mailing Address - Phone:251-690-8847
Mailing Address - Fax:251-690-8859
Practice Address - Street 1:3810 WULFF RD E
Practice Address - Street 2:
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575-5256
Practice Address - Country:US
Practice Address - Phone:251-445-0582
Practice Address - Fax:251-445-0579
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO-295207P00000X
ALDO 295208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL630000013Medicaid
AL011846OtherMEDICARE GROUP PAYEE NUMBER
AL1063439065OtherMAIN GROUP NPI PAYEE NUMBER
AL051556724Medicaid
AL630000013Medicaid