Individual
DR. ROBERT INGRAM SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 764-6873
Mailing address
PO BOX 5468, MARTINSVILLE, VA 24115-5468
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101039458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010159784
—
VA
05
—
010159806
—
VA
01
—
181673
ANTHEM-CENTERPOINT RD.
VA
01
—
217816
ANTHEM-ATLEE RD.
VA
01
—
217817
ANTHEM-BREMO RD.
VA
01
—
220020618
RAILROAD MEDICARE
—
Enumeration date
09/06/2005
Last updated
08/01/2011
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