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Individual

DR. DANIEL LEO SPRAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 451-7115
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39477
IA
207P00000X
Emergency Medicine Physician
Primary
MD156389
OR
207P00000X
Emergency Medicine Physician
R-8731
IA

Other

Enumeration date
06/15/2009
Last updated
11/10/2020
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