ROBERT MICHAEL SPRAGUE

CARBONDALE, IL
NPI1255788022
Professional NameROB MICHAEL SPRAGUE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036156247)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: AZ  008178)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-20
Last Update Date2021-07-20
Business Address
Dr. ROBERT MICHAEL SPRAGUE DO
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
Mailing Address
Dr. ROBERT MICHAEL SPRAGUE DO
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 186-457-5200