| Jeanne M. Spudick, D.o., A Medical Corporation | |
|
1441 Avocado Ave Ste 409 Newport Beach CA 92660-7705 | |
| (949) 640-4501 | |
| Not Available |
| Full Name | Jeanne M. Spudick, D.o., A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1441 Avocado Ave Ste 409, Newport Beach, California |
| Authorized Official Name and Position | Jeanne Maire Spudick (PRESIDENT) |
| Authorized Official Contact | 9496404501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanne M. Spudick, D.o., A Medical Corporation 1441 Avocado Ave Ste 409 Newport Beach CA 92660-7705 Ph: (949) 640-4501 | Jeanne M. Spudick, D.o., A Medical Corporation 1441 Avocado Ave Ste 409 Newport Beach CA 92660-7705 Ph: (949) 640-4501 |
| NPI Number | 1164596755 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 10/21/2010 |
| Medicare PECOS PAC ID | 9436257375 |
|---|---|
| Medicare Enrollment ID | O20070724000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164596755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 20A6795 (California) | Primary |
| Provider Name | Jeanne Marie Spudick |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902824816 PECOS PAC ID: 6204864390 Enrollment ID: I20050729000912 |
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