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Individual

DR. ELISA M SPRADLIN

Active
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Individual

DR. ELISA M SPRADLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-1889
AR
207Q00000X
Family Medicine Physician
L-0503
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04070022700
QUALCHOICE
AR
05
—
09555297
—
MS
05
—
136209001
—
AR
05
—
1631281
—
LA
05
—
200026540A
—
OK
01
—
2015989
UNITED HEALTHCARE
AR
01
—
5K950
BLUE CROSS/BLUE SHIELD
AR
01
—
6576964003
CIGNA
—
01
—
7976182
AETNA
—
01
—
P00126582
RAILROAD MEDICARE
—
Enumeration date
06/09/2005
Last updated
04/29/2025
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