| Practice Of Alan Spivack, Llc | |
|
224 S Woods Mill Rd Suite 620 Chesterfield MO 63017-3451 | |
| (314) 576-1610 | |
| (314) 576-1859 |
| Full Name | Practice Of Alan Spivack, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 224 S Woods Mill Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Rick Sonne (DIRECTOR) |
| Authorized Official Contact | 3145762490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practice Of Alan Spivack, Llc 232 S Woods Mill Rd Attn: Rick Sonne Chesterfield MO 63017-3417 Ph: (314) 576-2490 | Practice Of Alan Spivack, Llc 224 S Woods Mill Rd Suite 620 Chesterfield MO 63017-3451 Ph: (314) 576-1610 |
| NPI Number | 1548357163 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548357163 | NPI | - | NPPES |
| 1121155230 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29603 (Missouri) | Primary |
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