MEDICARE: KURT W SPRUNGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	036145819	IL
2	208600000X	Surgery Physician	11528C	WY
3	208600000X	Surgery Physician	37779	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285683326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KURT W SPRUNGER M.D.

Provider Business Mailing Address
First Line	:	3805 E BELL RD STE 5300
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2188
Country	:	US
Telephone Number	:	602-422-9690
Fax Number	:	602-422-9680

Provider Business Practice Location Address
First Line	:	3805 E BELL RD STE 5300
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2188
Country	:	US
Telephone Number	:	602-422-9690
Fax Number	:	602-422-9680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	03/21/2019

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Directions to “ KURT W SPRUNGER M.D.” Practice Location

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