Individual
JAMES MARK SPAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1605 MARTIN SPRINGS DR STE 230, ROLLA, MO 65401-2980
(573) 458-6350
Mailing address
1605 MARTIN SPRINGS DR STE 230, ROLLA, MO 65401-2980
(573) 458-6350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018001334
MO
Other
Enumeration date
09/26/2018
Last updated
11/29/2018
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