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T L Sprague Do Pc
Primary Care Clinic/Center in Audubon, Iowa
NPI 1316998289

T L Sprague Do Pc is a Primary Care Clinic/Center based in Audubon, IA and is specialized in Primary Care. T L Sprague Do Pc practices in Audubon, IA. The NPI Number for T L Sprague Do Pc is 1316998289 and holds a License No. (Iowa).

The current practice location address for T L Sprague Do Pc is 222 Broadway, Audubon, IA and can be reached out via phone at 712-563-4206 and via fax at 712-563-2001.

Location: 222 Broadway, Audubon, IA, 50025-1199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316998289
Provider Name
T L Sprague Do Pc
Credential
Provider Entity Type
Organization
Address
222 Broadway, Audubon, IA, 50025-1199
Phone Number
712-563-4206
Fax Number
712-563-2001
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I3936 01 IA MEDICARE B GROUP #
0638536 05 IA
institution
Provider Business Practice Location Address Details
Address
222 Broadway
City
Audubon
State
Iowa
Zip
50025-1199
Phone Number
712-563-4206
Fax Number
712-563-2001
person
Provider Business Mailing Address Details
Address
222 Broadway
City
Audubon
State
Iowa
Zip
50025-1199
Phone Number
712-563-4206
Fax Number
712-563-2001
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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