Healthcare Provider Details

I. General information

NPI: 1891706990
Provider Name (Legal Business Name): DR. JAMES ARNOLD SPROUL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 12/03/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 MOUNT VERNON AVE STE 211
BAKERSFIELD CA
93306-3341
US

IV. Provider business mailing address

PO BOX 60159
BAKERSFIELD CA
93386-0159
US

V. Phone/Fax

Practice location:
  • Phone: 661-872-7000
  • Fax: 661-872-0499
Mailing address:
  • Phone: 661-872-7000
  • Fax: 661-872-0499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberG59206
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: