Organization
LIFETIME HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D SPROED MD (PHYSICIAN OWNER)
(541) 673-4513
Entity
Organization
Contact information
Practice address
868 NORTHWEST GARDEN VALLEY BOULEVARD, ROSEBURG, OR 97470-1959
(541) 673-4513
(541) 672-6384
Mailing address
868 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-1959
(541) 673-4513
(541) 672-6384
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
07/03/2008
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