institution
Dale Warren Sponaugle, Md, Pc
Diagnostic Radiology Physician in Medina, New York
NPI 1780839886

Dale Warren Sponaugle, Md, Pc is a Diagnostic Radiology Physician based in N Tonawanda, NY and is specialized in Diagnostic Radiology. Dale Warren Sponaugle, Md, Pc practices in Medina, NY. The NPI Number for Dale Warren Sponaugle, Md, Pc is 1780839886 and holds a License No. 164356 (New York).

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

Location: 200 Ohio St, Medina, NY, 14120-2019
institution
Provider Profile Details
NPI Number
1780839886
Provider Name
Dale Warren Sponaugle, Md, Pc
Credential
Provider Entity Type
Organization
Address
200 Ohio St, Medina, NY, 14120-2019
Phone Number
585-798-8054
Fax Number
Provider Enumeration Date
11/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01257134 05 NY
000525331009 01 NY BLUE CROSS OF WNY
5690902 01 NY IHA
00020548502 01 NY UNIVERA
9600955 01 NY GHI - PPO
P010164356 01 NY BLUE CHOICE
040426004344 01 NY FIDELIS
institution
Provider Business Practice Location Address Details
Address
200 Ohio St
City
State
Zip
14103-1063
Phone Number
585-798-8054
Fax Number
person
Provider Business Mailing Address Details
Address
200 Ohio St
City
State
Zip
14103-1063
Phone Number
585-798-8054
Fax Number
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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