Individual
DR. THOMAS D SPRINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 W A ST STE 101, MOSCOW, ID 83843-6000
(208) 882-2011
Mailing address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 882-2011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M14751
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A841500
—
CA
Enumeration date
09/20/2005
Last updated
03/29/2021
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