Sprague, Randy S.
Sprague, Randy S. is an individual health care provider with primary practice located at 3660 Vista Ave , Saint Louis MO 63110-2540. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Pharmacology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sprague, Randy S. can be contacted via phone (314) 577-6095.Contact Information
Primary practice address
3660 Vista Ave
Saint Louis MO 63110-2540
Phone: (314) 577-6095
Fax: (314) 577-6121
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R7946 | Missouri |
Allopathic & Osteopathic Physicians / Clinical Pharmacology | 208U00000X | R7946 | Missouri |
Profile Details
NPI number | 1649283623 |
---|---|
LBN Legal business name | Sprague, Randy S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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