| Doctor Name: | DR. JOHN D SPROED |
| NPI Number: | 1841298429 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD6562 |
| Business Practice Address: | 868 Nw Garden Valley Blvd Roseburg, OR - 974701959 |
| Business Phone Number: | 5414925433 |
| Business Fax Number: | 5416726384 |
| Mailing Address: | 2156 Fisher Rd, ROSEBURG |
| State: | OR |
| Postal Code: | 974709216 |
| Phone Number: | 5416734513 |
| Fax Number: | 5416733116 |
| NPI Enumeration Date: | 07/08/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/15/2006 |
| NPI Reactivation Date: | 03/29/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD6562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| 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. |