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Individual
TIMOTHY JOSEPH SPRAGUE
Active
Individual
TIMOTHY JOSEPH SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G37181
CA
2085N0904X
Nuclear Radiology Physician
G37181
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G37181
CA
2085R0204X
Vascular & Interventional Radiology Physician
G37181
CA
2085U0001X
Diagnostic Ultrasound Physician
G37181
CA
Other
Enumeration date
02/14/2007
Last updated
06/03/2015
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