Individual
SAM MICHAEL SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CCRN
Contact information
Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 287-6001
Mailing address
304 NE CORDER ST, LEES SUMMIT, MO 64063-2607
(417) 766-2062
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2005024763
MO
163WE0003X
Emergency Registered Nurse
2005024763
MO
363LF0000X
Family Nurse Practitioner
Primary
2019037100
MO
Other
Enumeration date
10/30/2017
Last updated
10/14/2019
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