Whalio Doctors

NPI 1649283623

Randy S. Sprague, MD

Practitioner Clinical Pharmacology Physician Saint Louis, MO

Practice location

Address
3660 Vista Ave, Saint Louis, MO 63110-2540
Phone
(314) 577-6095
Fax
(314) 577-6121
Mailing address
3691 Rutger St Provider Enrollment, Saint Louis, MO 63110-2515

Registered specialties (2)

Clinical Pharmacology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208U00000X Licence R7946 (MO)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence R7946 (MO)

Registry record

NPI
1649283623
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Aug 2006
Record last updated
11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.