Individual
DR. CHARLES J SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16929 FRANCES ST, STE 101, OMAHA, NE 68130-4683
(402) 758-5124
(402) 758-5283
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22145
NE
Other
Enumeration date
12/21/2006
Last updated
02/13/2013
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