Organization
M.L.S. MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LEON SPEARMAN M.D. (PRESIDENT)
(314) 441-9488
Entity
Organization
Contact information
Practice address
10995 CHASE PARK LN APT C, SAINT LOUIS, MO 63141-5787
(314) 695-5529
(314) 695-5529
Mailing address
10995 CHASE PARK LN APT C, SAINT LOUIS, MO 63141-5787
(314) 695-5529
(314) 695-5529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1164598579
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164598579
INDIVIDUAL NPI
MO
Enumeration date
12/22/2015
Last updated
12/22/2015
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