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Individual

DR. MOLLIE ANNE SPIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
5701 DELMAR BLVD, ST. LOUIS, MO 63112-0937
(314) 367-7848
(314) 367-2985
Mailing address
5701 DELMAR BLVD, ST. LOUIS, MO 63112-0937
(314) 367-7848
(314) 367-2985

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006010378
MO
207Q00000X
Family Medicine Physician
20A8948
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201283108
MO
Enumeration date
07/04/2006
Last updated
10/04/2012
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