Individual
SPENCER JUSTIN SANDS
Active
Individual
SPENCER JUSTIN SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2007019256
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235353616
—
MO
05
—
200264890A
—
OK
05
—
200589100C
—
KS
Enumeration date
04/13/2007
Last updated
07/21/2025
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