Provider Demographics
NPI:1447296181
Name:SPITZFADEN, ANDREW C (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:C
Last Name:SPITZFADEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:224 S WOODS MILL RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3497
Mailing Address - Country:US
Mailing Address - Phone:314-576-7013
Mailing Address - Fax:314-576-4047
Practice Address - Street 1:224 S WOODS MILL RD
Practice Address - Street 2:SUITE 330
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3497
Practice Address - Country:US
Practice Address - Phone:314-576-7013
Practice Address - Fax:314-576-4047
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2023-02-02
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Provider Licenses
StateLicense IDTaxonomies
MO2005011349207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOI30774Medicare UPIN
0355550001Medicare NSC
MO931222295Medicare PIN