| Spencer Blondeaux, | |
|
12409 Saint Charles Rock Rd, Bridgeton, MO 63044-2507 | |
| (636) 429-0999 | |
| Not Available |
| Full Name | Spencer Blondeaux |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 12409 Saint Charles Rock Rd, Bridgeton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114645249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Blondeaux, 5219 Wilson Ave, Saint Louis, MO 63110-3137 Ph: () - | Spencer Blondeaux, 12409 Saint Charles Rock Rd, Bridgeton, MO 63044-2507 Ph: (636) 429-0999 |
Mr. Blessing Kudakwashe Tupiri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-647-8269 | |
Ms. Jennifer Cafi, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 Fax: 314-344-6840 | |
Daniel Zackary Souvannarath, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12266 De Paul Dr Ste 310, Bridgeton, MO 63044 Phone: 314-209-5171 | |
Heather Ann Schmitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-218-2300 | |
Madelyn Tegerdine, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044 Phone: 314-218-2300 | |
Mrs. Amber Renee Johnson, PAC MMS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12255 De Paul Dr, Suite 460, Bridgeton, MO 63044 Phone: 314-770-1844 Fax: 314-770-1843 |