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Individual

ARNOLD D SPRAGUE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
736 N ELM ST, HENDERSON, KY 42420-2938
(270) 827-4000
(270) 827-5325
Mailing address
PO BOX 1079, HENDERSON, KY 42419-1079
(270) 827-0353
(270) 827-4966

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16000
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000299872
ANTHEM BC & BS
KY
05
50007299
KY
05
64160005
KY
Enumeration date
03/01/2006
Last updated
03/21/2013
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