MEDICARE: DR. DAVID SPRENGER 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	2084P0800X	Psychiatry Physician	G87304	CA

General Provider Information

NPI Number	:	1528109741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SPRENGER M.D.

Provider Business Mailing Address
First Line	:	4140 MOTHER LODE DR STE 104
Second Line	:	P.O. BOX 1340
City	:	SHINGLE SPRINGS
State	:	CA
Zip	:	95682-8038
Country	:	US
Telephone Number	:	530-672-8059
Fax Number	:	530-672-8057

Provider Business Practice Location Address
First Line	:	4140 MOTHER LODE DR STE 104
Second Line	:
City	:	SHINGLE SPRINGS
State	:	CA
Zip	:	95682-8038
Country	:	US
Telephone Number	:	530-672-8059
Fax Number	:	530-672-8057

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

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	07/08/2007

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