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

Alissa Sprague, MO, LIC2015005070

Individual provider Physician Assistant · NPI 1700276631

Alissa Sprague, MO, LIC2015005070 is a Physician Assistant in Saint Louis, Missouri. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

555 N New Ballas Rd Ste 175
Saint Louis, MO 63141-6884
Phone: (314) 786-2663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1700276631
Entity typeIndividual (Type 1)
GenderFemale
Credentials MO , LIC2015005070
Sole proprietorNo
NPI enumeratedJanuary 30, 2015
Last updated in NPPESJanuary 28, 2023
Certification dateJanuary 28, 2023

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