Individual
DR. ANGELA J SPRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
207N00000X
Dermatology Physician
Primary
2004004910
MO
207NP0225X
Pediatric Dermatology Physician
2004004910
MO
207NS0135X
Procedural Dermatology Physician
2004004910
MO
Other
Enumeration date
06/22/2006
Last updated
01/11/2013
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