Individual
SPENCER PHILIP SHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 5000, O FALLON, IL 62269-1282
(618) 641-5803
(618) 607-5116
Mailing address
3 SAINT ELIZABETH BLVD STE 5000, O FALLON, IL 62269-1282
(618) 641-5803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011027
IL
Other
Enumeration date
04/30/2024
Last updated
02/18/2025
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