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Individual

RONALD WILLIAM SPROAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
384 SE COMBS FLAT RD, SUITE 1200, PRINEVILLE, OR 97754-2562
(541) 548-7761
(541) 526-6554
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 548-7761
(541) 526-6554

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD12552
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024744001
BLUE CROSS
OR
05
223222
OR
Enumeration date
04/28/2006
Last updated
03/08/2016
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