Individual
DR. JOHN D SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1616 SOUTHRIDGE DR, STE 202, JEFFERSON CITY, MO 65109-5677
(573) 635-0401
(573) 635-6715
Mailing address
1616 SOUTHRIDGE DR, STE 202, JEFFERSON CITY, MO 65109-5677
(573) 635-0401
(573) 635-6715
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2003031159
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208747808
—
MO
Enumeration date
09/13/2006
Last updated
12/09/2010
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