Provider Demographics
NPI:1366280109
Name:SPANGLER, JULIAN JASON
Entity type:Individual
Prefix:MR
First Name:JULIAN
Middle Name:JASON
Last Name:SPANGLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17017 FOLLY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4182
Mailing Address - Country:US
Mailing Address - Phone:317-617-3625
Mailing Address - Fax:
Practice Address - Street 1:17017 FOLLY BROOK RD
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4182
Practice Address - Country:US
Practice Address - Phone:317-617-3625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program