Specialty & Primary Care LLC

NPI #1104954692 in Saint Louis, Missouri

Provider Information

NPI Number
1104954692
Entity Type
Organization
Organization Name
Specialty & Primary Care LLC
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Feb 28, 2007
Last Updated
Mar 17, 2009

Practice Location

Address
3009 N BALLAS RD
Address 2
SUITE 229A
ZIP Code
63131-2322
Phone
(314) 432-5144

Authorized Official

Name
NAYYER IBRAHIM
Title
ADMINISTRATOR
Phone
(314) 432-5144

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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