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Contact Information

RANDY S SPRAGUE, MD
3660 VISTA AVE
SAINT LOUIS, MO63110-2540
 Phone: 314-577-6095
 Fax: 314-577-6121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pharmacology

208U00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RANDY S SPRAGUE · (Male)

NPI Number 1649283623
Status Active
Credentials MD
Entity Individual
Enumeration date 08/14/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MO License # R7946
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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