Individual
DR. JOHN WILLIAM SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2423
(859) 301-2066
Mailing address
PO BOX 635283, ST. ELIZABETH PHYSICIANS, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
46339
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
46339
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0662984
—
OH
05
—
64860109
—
KY
Enumeration date
09/23/2005
Last updated
11/29/2012
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