Organization
JACK T. SPROUL, MD PC
Active
Other names
CORTLAND ORTHOPEDICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK T SPROUL MD (CEO)
(607) 756-6330
Entity
Organization
Contact information
Practice address
135 N MAIN ST, CORTLAND, NY 13045-1226
(607) 756-6330
Mailing address
135 N MAIN ST, CORTLAND, NY 13045-1226
(607) 756-6330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02723462
—
NY
Enumeration date
09/20/2006
Last updated
11/06/2009
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