Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD0451097 | PA |
Y | 208600000X | Surgeon | MD0451097 | PA |
N | 2086S0102X | Surgical Critical Care | MD0451097 | PA |
NPI | 1114218336 |
---|---|
Provider Name | Danielle Denise Spragan |
First Address | Wynnewood, PA 19096-3450 |
Second Address | Wynnewood, PA 19096-3450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2011 |
Last Update Date | 22/11/2019 |