SearchMissouri104100000X

Shannon Spellman

NPI 1043564073 · on the registry since 2012

Practice

Address
1919 S Grand Blvd
Saint Louis, MO 63104
Phone
(314) 566-5268

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri