Individual
TAYLOR BROOKE SPRUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 625-5200
Mailing address
2348 STONEHOUSE RD, DE SOTO, MO 63020-5701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022049204
MO
Other
Enumeration date
11/14/2022
Last updated
01/09/2023
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