Individual
JAMES E SPALDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
311 WEST LINCOLN, SUITE 300, BELLEVILLE, IL 62220-1921
(618) 233-7077
Mailing address
13523 BARRETT PARKWAY DRIVE, SUITE 104, BALLWIN, MO 63021-3802
(636) 938-6868
(636) 938-1486
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209-000239
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209000239
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034323
AANA
—
01
—
S14344555183
ILLINOIS DRIVERS LICENSE
IL
Enumeration date
07/07/2006
Last updated
02/17/2011
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