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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALISSA SPRAGUE, MO LIC # 2015005070

Active

ALISSA SPRAGUE, MO LIC # 2015005070 is a Physician Assistant healthcare provider located in SAINT LOUIS, Missouri. NPI 1700276631 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SAINT LOUIS, MO

Registration Details

NPI Number
1700276631
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2015 (11.558782434232 yrs)
Last Updated
Jan 28, 2023

Practice Information

Address
555 N NEW BALLAS RD STE 175
SAINT LOUIS, MO, 631416884
Browse MO providers · Browse ZIP 63141
Phone
3147862663
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SAINT LOUIS, MO

Name Credential NPI
MR. JEREMY D DUNBARR P.A. 1831191014
JAMIE LYNN SHEDELBOWER PA 1033115480
BRYON J WITZEL PA-C 1528065844
MR. JASON B GAY PA-C 1518964378
MS. BROOKE NEILLY VANANNE PA 1699757955
RENEE AMATO PA 1922085356
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.