Individual
DR. RANDAL T. SPURGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 CARTER ST, BERRYVILLE, AR 72616-4303
(870) 423-6661
(870) 423-4374
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9H35
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111663001
—
AR
05
—
202529509
—
MO
01
—
51373
AR BLUE SHIELD #
AR
Enumeration date
10/14/2006
Last updated
10/18/2011
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