Individual
MALLORY SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
49 LAWRENCE AVE, POTSDAM, NY 13676-1889
(315) 261-5550
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
301774
NY
Other
Enumeration date
06/08/2016
Last updated
03/31/2021
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