Organization
DONALD G SPRADLIN DO PLLC
Active
Other names
DONALD G SPRADLIN DO LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SPRADLIN (MANAGER)
(719) 481-2825
Entity
Organization
Contact information
Practice address
1415 W CHEYENNE MOUNTAIN BLVD, COLORADO SPRINGS, CO 80906-6211
(719) 481-2825
(719) 481-2825
Mailing address
PO BOX 60545, COLORADO SPRINGS, CO 80960-0545
(719) 481-2825
(719) 481-2825
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020293
—
CO
Enumeration date
07/13/2006
Last updated
03/02/2016
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