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Individual

GRAHAM L SPRUIELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
VALLEY REGIONAL MEDICAL SERVICES, 70 EAST STREET, METHUEN, MA 01844
(978) 688-0773
(978) 681-6173
Mailing address
VALLEY REGIONAL MEDICAL SERVICES, P.O. BOX 414060, BOSTON, MA 02241-0001
(617) 562-5460
(617) 562-5480

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
52192
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30201318
MA
Enumeration date
03/14/2006
Last updated
07/08/2007
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