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Individual

DR. ELISA M SPRADLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7003 CHAD COLLEY BLVD, BARLING, AR 72923-3000
(479) 431-3500
(479) 452-2098
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 431-3500
(479) 452-2098

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-1889
AR
207Q00000X
Family Medicine Physician
L-0503
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04070022700
QUALCHOICE
AR
05
09555297
MS
05
136209001
AR
05
1631281
LA
05
200026540A
OK
01
2015989
UNITED HEALTHCARE
AR
01
5K950
BLUE CROSS/BLUE SHIELD
AR
01
6576964003
CIGNA
01
7976182
AETNA
01
P00126582
RAILROAD MEDICARE
Enumeration date
06/09/2005
Last updated
04/29/2025
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