T L SPRAGUE DO PC; NPI #1316998289

Contact Information

T L SPRAGUE DO PC

222 BROADWAY
AUDUBON MEDICAL CLINIC
AUDUBON, IA 50025-1199

Phone: 712-563-4206
Fax: 712-563-2001
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for T L SPRAGUE DO PC

NPI Number 1316998289

LBN Legal business name T L SPRAGUE DO PC

Authorized official TERRY SPRAGUE - (PRESIDENT OF PC)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/15/2006

Last updated 01/18/2008 - About 18 years ago

Identifiers

IA	Medicaid	0638536
IA	Other	I3936	MEDICARE B GROUP #

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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T L SPRAGUE DO PC

Contact Information

Specialty

Primary Care

NPI Profile & details for T L SPRAGUE DO PC

Reviews for T L SPRAGUE DO PC