Individual
DR. PHILIP CHARLES SPINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-2527
(314) 361-0733
Mailing address
1 CHILDRENS PL, NWT 8328 CB 8116, SAINT LOUIS, MO 63110-1002
(314) 454-2527
(314) 361-0733
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2011018389
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2011018389
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205805678
—
MO
05
—
ENROLLED
—
IL
Enumeration date
03/16/2006
Last updated
01/29/2018
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