# DR. ELISA M SPRADLIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730183443
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2005
- **Last updated:** 04/29/2025

## 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 | — |