Organization
RONALD W. SPROAT, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD WILLIAM SPROAT MD (OWNER/PROVIDER)
54144710008
Entity
Organization
Contact information
Practice address
1251 NE ELM ST, PRINEVILLE, OR 97754-1206
(541) 447-1008
(541) 416-0397
Mailing address
1251 NE ELM ST, PRINEVILLE, OR 97754-1206
(541) 447-1008
(541) 416-0397
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD12552
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223222
—
OR
Enumeration date
10/18/2007
Last updated
11/21/2007
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