Individual
DAVID HUGH SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003040000
—
WV
01
—
50086393
RR MEDICARE
—
05
—
5718309
—
VA
01
—
7020
PARTNERS
—
01
—
79018
BCBS
—
01
—
7998664
AETNA
—
05
—
8979018
—
NC
01
—
A9556
MEDCOST
—
05
—
Q22630
—
SC
Enumeration date
12/19/2005
Last updated
12/18/2007
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