T L Sprague Do PC

NPI #1316998289 in Audubon, Iowa

Provider Information

NPI Number
1316998289
Entity Type
Organization
Organization Name
T L Sprague Do PC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 15, 2006
Last Updated
Jan 18, 2008

Practice Location

Address
222 BROADWAY
Address 2
AUDUBON MEDICAL CLINIC
State
Iowa
ZIP Code
50025-1199
Phone
(712) 563-4206

Authorized Official

Name
TERRY L SPRAGUE, DO
Title
PRESIDENT OF PC
Phone
(712) 563-4206

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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