PATRICK G. SPORLEDER

JEFFERSON CITY, MO
NPI1922099506
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  R4N43)
Enumeration Date2005-11-02
Last Update Date2015-10-07
Business Address
-- PATRICK G. SPORLEDER D.O.
3527 W TRUMAN BLVD
JEFFERSON CITY, MO 65109-5715
Phone number: 573-761-7979
Mailing Address
-- PATRICK G. SPORLEDER D.O.
PO BOX 1027
JEFFERSON CITY, MO 65102-1027
Phone number: 573-681-3767