Individual
THOMAS SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3009 N BALLAS RD STE 315A, SAINT LOUIS, MO 63131-2324
(314) 996-4700
Mailing address
3009 N BALLAS RD STE 315A, SAINT LOUIS, MO 63131-2324
(314) 996-4700
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
R5H59
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003013175
AREA 99 MEDICARE PIN
MO
05
—
202566014
—
MO
Enumeration date
01/30/2006
Last updated
11/01/2021
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