Individual
SPENCER A COTTERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14561 N OUTER 40 RD, CHESTERFIELD, MO 63017-5703
(314) 966-0111
Mailing address
14561 N OUTER 40 RD, CHESTERFIELD, MO 63017-5703
(314) 966-0111
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2016011168
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2012
Last updated
07/26/2016
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