Randy S Sprague, MD is a
Clinical Pharmacology physician based in Saint Louis, Missouri. Randy S Sprague is licensed to practice in Missouri (license number R7946) and his current practice location is 3660 Vista Ave, Saint Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 577-6095.
NPI number for Randy S Sprague is 1649283623 and his current mailing address is 3691 Rutger St, Provider Enrollment, Saint Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649283623.
Physician's Profile
| Full Name | Randy S Sprague |
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| Gender | Male |
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| Speciality | Clinical Pharmacology |
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| Location | 3660 Vista Ave, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649283623
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Randy S Sprague such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649283623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | R7946 (Missouri) | Primary |
| 208U00000X | Clinical Pharmacology | R7946 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randy S Sprague is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Randy S Sprague, MD
3691 Rutger St, Provider Enrollment,
Saint Louis, MO 63110-2515
Ph: (314) 977-6828 | Randy S Sprague, MD
3660 Vista Ave,
Saint Louis, MO 63110-2540
Ph: (314) 577-6095 |
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