Individual
JACOB SPEXARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2790 CLAY EDWARDS DR STE 600, KANSAS CITY, MO 64116-3274
(816) 561-3003
(816) 889-1584
Mailing address
19550 E 39TH ST S, STE 410, INDEPENDENCE, MO 64057-2358
(816) 303-2400
(816) 303-2484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0000000
MO
Other
Enumeration date
07/12/2016
Last updated
04/03/2018
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