Individual
MR. JAMES L SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
250 ARSENAL ST, 11 SHS, AUGUSTA, ME 04333-0011
(207) 624-4657
(207) 287-6123
Mailing address
15 COVE RD, WINTERPORT, ME 04496-3821
(207) 223-5574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA082
ME
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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