Ralph Douglas Spafford, P.A.-C Valid NPI

Individual provider · Medical Physician Assistant · O Fallon, IL

NPI

1043446008

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

117199 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2009-06-04

Last updated

2012-03-14