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Individual
DR. JASON K SPRUNGER
Active
Individual
DR. JASON K SPRUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01057641A
IN
208800000X
Urology Physician
MD-46344
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000292436
ANTHEM PIN NUMBER
IN
01
—
000001354490
ANTHEM
IN
01
—
100194370
MEDICAID GROUP NUMBER
IN
05
—
200439070
—
IN
01
—
P00017585
MEDICARE RAILROAD
IN
Enumeration date
07/28/2006
Last updated
01/19/2024
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