Individual
DR. SPENCER NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
4500 FOREST PARK AVE, DIV IM DERMATOLOGY, 6TH FL, SAINT LOUIS, MO 63108-2114
(314) 273-3376
(888) 665-8309
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 273-3376
(888) 665-8309
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2024013120
MO
207ND0900X
Dermatopathology Physician
2024013120
MO
207R00000X
Internal Medicine Physician
2024013120
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200140817
—
MO
Enumeration date
03/20/2018
Last updated
04/17/2025
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