Organization
SPENNER DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG WILLIAM SPENNER M.D. (PRESIDENT)
(314) 966-2010
Entity
Organization
Contact information
Practice address
439 S KIRKWOOD RD, SUITE 206, KIRKWOOD, MO 63122-6169
(314) 966-2010
(314) 966-4825
Mailing address
439 S KIRKWOOD RD, SUITE 206, KIRKWOOD, MO 63122-6169
(314) 966-2010
(314) 966-4825
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R1A88
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154320877
CRAIG SPENNER M.D.
MO
Enumeration date
08/04/2010
Last updated
09/16/2010
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