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Organization
SPRAGUE MEDICAL CORP
Active
Organization
SPRAGUE MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER LEE SPRAGUE DO (PRESIDENT)
(619) 337-4951
Entity
Organization
Contact information
Practice address
1582 W SAN MARCOS BLVD STE 100, SAN MARCOS, CA 92078-4081
(619) 337-4951
Mailing address
1582 W SAN MARCOS BLVD STE 100, SAN MARCOS, CA 92078-4081
(760) 304-1383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
06/30/2026
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