Individual
DR. BOYD EDWIN SPRENKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12502 WILLOWBROOK RD, SUITE #280, CUMBERLAND, MD 21502-6491
(240) 964-8750
(240) 964-8699
Mailing address
12502 WILLOWBROOK ROAD, SUITE #280, CUMBERLAND, MD 21502-6494
(240) 964-8750
(240) 964-8699
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D0054946
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
567B 768841-03
CAREFIRST
MD
05
—
774141301
—
MD
01
—
K307-0014
GHMSI
DC
Enumeration date
04/06/2006
Last updated
06/08/2010
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