Individual
KELLIE MARISSA SPRANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 744-8555
Mailing address
PO BOX 708850, SANDY, UT 84070-8850
(866) 869-2395
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20607
OR
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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