| Spencer Philip Sholl, | |
|
104 Chattanooga Ct, Edwardsville, IL 62025-3196 | |
| (618) 975-4658 | |
| Not Available |
| Full Name | Spencer Philip Sholl |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 104 Chattanooga Ct, Edwardsville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427805258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Philip Sholl, 104 Chattanooga Ct, Edwardsville, IL 62025-3196 Ph: (618) 975-4658 | Spencer Philip Sholl, 104 Chattanooga Ct, Edwardsville, IL 62025-3196 Ph: (618) 975-4658 |
Kimberly Lynn Tiller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-800-4500 | |
Di'ara Woods, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3 Club Centre Ct Ste B1, Edwardsville, IL 62025 Phone: 618-699-4402 |