Individual
DR. MATTHEW L SPROWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 S PATTERSON BLVD, STE 300, DAYTON, OH 45402-2684
(937) 224-0024
(937) 224-5818
Mailing address
1222 S PATTERSON BLVD, STE 300, DAYTON, OH 45402-2684
(937) 224-0024
(937) 224-5818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35050758S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0614151
—
OH
Enumeration date
12/01/2005
Last updated
07/08/2007
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