Angela J Spray in O Fallon - Pediatric Dermatology

Angela J Spray - NPI 1477599884

Angela J Spray is a Pediatric Dermatology in O Fallon, Missouri. Angela J Spray practices all healthcare services and medical treatments related to Pediatric Dermatology. The NPI Number for Angela J Spray is 1477599884. The last update date is 2013-01-11.

Angela J Spray's current location address is 7136 S Outer Road 364, O Fallon, Missouri. You can contact this provider via phone number 6365613277 and fax number 6365615280. The mailing address for Angela J Spray is 7136 S Outer Road 364, O Fallon, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela J Spray
Address 7136 S Outer Road 364, O Fallon, Missouri
Phone Number 6365613277
Fax Number 6365615280
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1477599884
Provider Enumeration Date 2006-06-22
Last Updated Date 2013-01-11

Provider Mailing Address Detail

Address 7136 S Outer Road 364
City O Fallon
State Missouri (MO)
Post Code 633687756
Phone Number 6365613277
Fax Number 6365615280

Provider's Primary Taxonomy Detail

Speciality Pediatric Dermatology
Taxonomy 207Np0225X
Licence No 2004004910
Definition:
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

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FAQs about Angela J Spray

What is the unique identifier code issued to Angela J Spray by the Centers for Medicare & Medicaid Services (CMS)?

The Angela J Spray has been assigned the NPI (National Provider Identifier) 1477599884. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Angela J Spray is physically located?

The Angela J Spray is physically situated at the following address: 7136 S Outer Road 364, O Fallon, MO, 633687756.

What is Angela J Spray's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Angela J Spray is Pediatric Dermatology, and the taxonomy code that categorizes this field of expertise is 207Np0225X.

When was the Angela J Spray's 1477599884 issued?

The Angela J Spray's 1477599884 was issued on 2006-06-22.

As of what date were the Angela J Spray's details last updated?

The information pertaining to the Angela J Spray, including its address, specialty, and other details, was most recently updated on 2013-01-11.

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