Individual
MR. RANDALL C SPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 317-0600
(314) 317-0606
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1906
(314) 525-4868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R2E39
MO
207R00000X
Internal Medicine Physician
R2E39
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R2E39
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912954033
—
MO
Enumeration date
05/27/2006
Last updated
05/01/2015
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