Organization
ROBERT G. SPRATT, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G SPRATT M.D. (PRESIDENT)
(330) 788-4097
Entity
Organization
Contact information
Practice address
231 E MIDLOTHIAN BLVD, YOUNGSTOWN, OH 44507-1947
(300) 788-4097
(330) 788-4061
Mailing address
231 E MIDLOTHIAN BLVD, YOUNGSTOWN, OH 44507-1947
(300) 788-4097
(330) 788-4061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-04-9573S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000126547
ANTHEM BLUE CROSS
OH
01
—
080004716
RAILROAD MEDICARE
OH
05
—
2342996
—
OH
01
—
9200101
PTAN
OH
01
—
DN5046
RAILROAD MEDICARE GROUP
OH
Enumeration date
10/26/2007
Last updated
10/15/2008
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