Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sps Practice Group, LLC

Organization Plastic Surgery Physician · NPI 1053046888

Sps Practice Group, LLC is a Plastic Surgery Physician in Columbia, Missouri. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3220 Bluff Creek Dr
Columbia, MO 65201-3663
Phone: (573) 690-6129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1053046888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Shock — Owner · (573) 224-8200
NPI enumeratedJuly 17, 2022
Last updated in NPPESAugust 15, 2023
Certification dateJanuary 5, 2023
Mailing address3220 Bluff Creek Dr Ste 107, Columbia, MO 65201-3664

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