Organization
O'FALLON DERMATOLOGY SPECIALISTS, P.C.
Active
Organization
O'FALLON DERMATOLOGY SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA J SPRAY M.D. (PHYSICIAN)
(636) 561-3277
Entity
Organization
Contact information
Practice address
7136 S OUTER ROAD 364, O FALLON, MO 63368-7756
(636) 561-3277
(636) 561-5280
Mailing address
7136 S OUTER ROAD 364, O FALLON, MO 63368-7756
(636) 561-3277
(636) 561-5280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2004004910
MO
Other
Enumeration date
02/28/2007
Last updated
03/22/2015
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