Jack P Spaniol, MD
NPI #1356379184 in Bloomington, Illinois
Provider Information
- NPI Number
- 1356379184
- Entity Type
- Individual
- Name
- Jack P Spaniol, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jun 29, 2006
- Last Updated
- Mar 31, 2011
Practice Location
- Address
- 308 SAINT JOSEPH DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3506
- Phone
- (309) 663-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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