person
Dale W Sponaugle, MD
Diagnostic Radiology Physician in Medina, New York
NPI 1023018462

Dale W Sponaugle is a Diagnostic Radiology Physician based in Amherst, NY and is specialized in Diagnostic Radiology. Dale W Sponaugle practices in Medina, NY and has the professional credentials of MD. The NPI Number for Dale W Sponaugle is 1023018462 and holds a License No. 164356 (New York).

The current practice location address for Dale W Sponaugle is 200 Ohio St, Medina, NY and can be reached out via phone at 585-798-8054 and via fax at 585-798-8150.

Location: 200 Ohio St, Medina, NY, 14228-1895
person
Provider Profile Details
NPI Number
1023018462
Provider Name
Dale W Sponaugle
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Ohio St, Medina, NY, 14228-1895
Phone Number
585-798-8054
Fax Number
585-798-8150
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000525331009 01 NY BCBS WNY
201590500 01 FEDERAL WORKERS COMP
P010164356 01 NY ROCHESTER BCBS
020382600 01 FEDERAL BLACK LUNG
040403006845 01 NY FIDELIS CARE NEW YORK
117837FF 01 NY PREFERRED CARE
00020548502 01 NY UNIVERA HEALTHCARE
01257134 05 NY
5690902 01 NY INDEPENDENT HEALTH
164356 01 NY WORKERS COMPENSATION
institution
Provider Business Practice Location Address Details
Address
200 Ohio St
City
State
Zip
14103-1063
Phone Number
585-798-8054
Fax Number
585-798-8150
person
Provider Business Mailing Address Details
Address
200 Ohio St
City
State
Zip
14103-1063
Phone Number
585-798-8054
Fax Number
585-798-8150
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
164356 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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