Individual
DR. MATTHEW BENJAMIN SPRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DEPT RADIATION ONCOLOGY, LL, SAINT LOUIS, MO 63110-1032
(314) 747-7236
(314) 747-9557
Mailing address
660 S EUCLID AVE, CB 8224, SAINT LOUIS, MO 63110-1010
(314) 747-7236
(314) 747-9557
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2018013502
MO
2085R0001X
Radiation Oncology Physician
Primary
DR.0069161
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063037
—
MO
Enumeration date
04/01/2013
Last updated
08/03/2022
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