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NPI Code Detail

MEDICARE: LINWOOD RAY SPRUIELL MD

MEDICARE: LINWOOD RAY SPRUIELL MD
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
1207L00000XAnesthesiology Physician0101044236VA

Other Identifiers

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

General Provider Information

NPI Number : 1730179532
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINWOOD RAY SPRUIELL MD
Provider Business Mailing Address
First Line : PO BOX 79763
Second Line : SMG ANESTHESIA SPECIALISTS LLC
City : BALTIMORE
State : MD
Zip : 21279-0763
Country : US
Telephone Number : 757-470-5570
Fax Number : 757-363-6204
Provider Business Practice Location Address
First Line : 2025 GLENN MITCHELL DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-0178
Country : US
Telephone Number : 757-470-5570
Fax Number : 757-363-6204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 02/17/2015

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Directions to “ LINWOOD RAY SPRUIELL MD” Practice Location

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