Organization
MISSOURI SPINE INSTITUTE, LLC
Active
Organization
MISSOURI SPINE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. SPEARS DO (OWNER)
(573) 635-0401
Entity
Organization
Contact information
Practice address
1616 SOUTHRIDGE DR, STE 202, JEFFERSON CITY, MO 65109-5677
(573) 635-0401
(573) 635-6715
Mailing address
1616 SOUTHRIDGE DR, STE 202, JEFFERSON CITY, MO 65109-5677
(573) 635-0401
(573) 635-6715
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
LC0926793
MO
Other
Enumeration date
11/05/2008
Last updated
12/01/2016
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