Individual
JAMES SPEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12345 W BEND DR, SUITE 300, SAINT LOUIS, MO 63128-2182
(314) 849-6000
(314) 849-1417
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 849-6000
(314) 849-1417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R5A65
MO
207RR0500X
Rheumatology Physician
R5A65
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010037
ESSENCE PCP
MO
01
—
000000010714
ESSENCE RHEUMA
MO
01
—
0400009
UHC MEDICARE COMPLETE
—
01
—
0404109
UHC PCP
MO
01
—
105421
BCBS
MO
01
—
122951
HEALTHLINK
MO
01
—
127521
GHP PCP
MO
01
—
165271
GHP RHEUMO SPEC
MO
01
—
3200009
UHC RHEUM SPEC
MO
01
—
4135004
AETNA
MO
01
—
A10037
MERCY
MO
Enumeration date
11/16/2005
Last updated
10/01/2012
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