Individual
ROBERT F. SPRUNG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 FARMINGTON AVE., BUILDING I, SUITE 2, FARMINGTON, NM 87401-1202
(505) 326-3691
(505) 327-9688
Mailing address
PO BOX 2769, FARMINGTON, NM 87499-4559
(505) 326-3697
(505) 327-9688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD2008-0311
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37782738
—
NM
Enumeration date
11/28/2005
Last updated
03/06/2015
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