RANDY S. SPRAGUE

SAINT LOUIS, MO
NPI1649283623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  R7946)
Additional Taxonomies208U00000X Clinical Pharmacology
(Licence: MO  R7946)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
-- RANDY S. SPRAGUE M.D.
3660 VISTA AVE
SAINT LOUIS, MO 63110-2540
Phone number: 314-577-6095
Mailing Address
-- RANDY S. SPRAGUE M.D.
3691 RUTGER ST PROVIDER ENROLLMENT
SAINT LOUIS, MO 63110-2515
Phone number: 314-977-6828