| Doctor Name: | ROBERT F. SPRUNG |
| NPI Number: | 1255314837 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD2008-0311 |
| Business Practice Address: | 2700 Farmington Ave. Building I, Suite 2 Farmington, NM - 874011202 |
| Business Phone Number: | 5053263691 |
| Business Fax Number: | 5053279688 |
| Mailing Address: | Po Box 2769, FARMINGTON |
| State: | NM |
| Postal Code: | 874994559 |
| Phone Number: | 5053263697 |
| Fax Number: | 5053279688 |
| NPI Enumeration Date: | 11/28/2005 |
| NPI Last Update Date: | 03/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD2008-0311 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |