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Organization

MONROE A SPRAGUE MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MONROE A SPRAGUE MD (PHYSICIAN)
(530) 342-2411
Entity
Organization

Contact information

Practice address
135 MISSION RANCH BLVD, CHICO, CA 95926-2175
(530) 342-2411
(530) 894-5783
Mailing address
135 MISSION RANCH BLVD, CHICO, CA 95926-2175
(530) 342-2411
(530) 894-5783

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
G39757
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17460499693
CA
Enumeration date
03/06/2013
Last updated
03/06/2013
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