Organization
NEURO-RECON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SPEARS D.O. (OWNER)
(573) 635-0401
Entity
Organization
Contact information
Practice address
1616 SOUTHRIDGE DR STE 202, JEFFERSON CITY, MO 65109-5677
(573) 635-0401
(573) 635-6715
Mailing address
1616 SOUTHRIDGE DR STE 202, JEFFERSON CITY, MO 65109-5677
(573) 635-0401
(573) 635-6715
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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