Individual
DR. CRAIG WILLIAM SPENNER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
439 S KIRKWOOD RD, SIUTE 206, KIRKWOOD, MO 63122-6169
(314) 966-2010
(314) 966-4825
Mailing address
439 S KIRKWOOD RD, SIUTE 206, KIRKWOOD, MO 63122-6169
(314) 966-2010
(314) 966-4825
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R1A88
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070001348
RAILROAD MEDICARE
MO
Enumeration date
07/14/2005
Last updated
05/13/2008
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