Individual
JULIE MCKENZIE SPRUNT
Active
Individual
JULIE MCKENZIE SPRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP1-0036594
TX
208600000X
Surgery Physician
Q0571
TX
2086X0206X
Surgical Oncology Physician
Primary
Q0571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360213801
—
TX
05
—
360213802
—
TX
Enumeration date
04/01/2010
Last updated
07/29/2022
Update your record
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