Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sps Practice Group, LLC

Organization Plastic Surgery Physician · NPI 1053046888

Sps Practice Group, LLC provides Plastic Surgery Physician services 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.

See every abbreviation used in this directory →

Practice location Address checks out

3220 Bluff Creek Dr
Columbia, MO 65201-3663
Phone: (573) 690-6129
Show map & directions

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

Other providers in Columbia