| Doctor Name: | DALE W SPONAUGLE |
| NPI Number: | 1023018462 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 164356 |
| Business Practice Address: | 200 Ohio St Medina, NY - 141031063 |
| Business Phone Number: | 5857988054 |
| Business Fax Number: | 5857988150 |
| Mailing Address: | 908 Niagara Falls Blvd, Ste 208 N TONAWANDA |
| State: | NY |
| Postal Code: | 141202019 |
| Phone Number: | 7166922160 |
| Fax Number: | 7166924342 |
| NPI Enumeration Date: | 07/28/2005 |
| NPI Last Update Date: | 11/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 164356 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |