Individual provider · Type 1 NPI
Ralph Douglas Spafford, P.A.-C
Medical Physician Assistant · O Fallon, IL
NPI number
1043446008
Active
Practice location
916 Talon Dr, Suite 102
O Fallon, IL 62269-1848
Fax (618) 628-0883
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 117199 (MO) |
| Medical Physician Assistant | 363AM0700X | 385000318 (IL) |
Medical Physician Assistant: Definition to come...
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- Robert F. Ladove, MDGeneral Practice Physician O Fallon, IL NPI 1811076052
Other medical physician assistant providers in O Fallon
About NPI 1043446008
Ralph Douglas Spafford, P.A.-C's National Provider Identifier is 1043446008, issued on Jun 4, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in O Fallon, IL. The record was last updated on Mar 14, 2012.