Individual
SPENCER JUSTIN SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2600
(660) 562-7994
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2600
(660) 562-7994
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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