Individual
MR. COLE R SPRESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012011932
MO
207R00000X
Internal Medicine Physician
9407278
KS
208M00000X
Hospitalist Physician
2012011932
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801027743
—
MO
05
—
201132850A
—
KS
01
—
P01616039
RR MEDICARE
MO
Enumeration date
07/27/2009
Last updated
03/31/2017
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