Basic Information
Provider Information
NPI: 1609282904
EntityType: 2
ReplacementNPI:  
OrganizationName: BRENT SPRINKLE DO PLLC
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Mailing Information
Address1: 510 LORNA SQ
Address2:  
City: HOOVER
State: AL
PostalCode: 352165480
CountryCode: US
TelephoneNumber: 8772253542
FaxNumber: 8776389903
Practice Location
Address1: 6020 RANCH DR STE C5
Address2:  
City: LITTLE ROCK
State: AR
PostalCode: 722234635
CountryCode: US
TelephoneNumber: 8772253542
FaxNumber: 8776389903
Other Information
ProviderEnumerationDate: 07/08/2014
LastUpdateDate: 07/08/2014
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AuthorizedOfficialLastName: SPRINKLE
AuthorizedOfficialFirstName: WESLEY
AuthorizedOfficialMiddleName: BRENT
AuthorizedOfficialTitleorPosition: DO
AuthorizedOfficialTelephone: 8772253542
IsSoleProprietor:  
IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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