Organization
MICHAEL J SPEZIA DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH SPEZIA D.O. (DOCTOR)
(314) 385-7161
Entity
Organization
Contact information
Practice address
23 N OAKS PLZ, SUITE 200, SAINT LOUIS, MO 63121-2917
(314) 385-7161
(314) 385-3502
Mailing address
23 N OAKS PLZ, SUITE 200, SAINT LOUIS, MO 63121-2917
(314) 385-7161
(314) 385-3502
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
R8660
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240274704
—
MO
Enumeration date
02/15/2010
Last updated
01/23/2012
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