Organization
MICHAEL A. SPECTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALAN SPECTER D.P.M. (PRESIDENT)
(314) 692-8484
Entity
Organization
Contact information
Practice address
8515 DELMAR BLVD STE 215, SAINT LOUIS, MO 63124-2168
(314) 692-8484
(314) 692-8488
Mailing address
8515 DELMAR BLVD STE 215, SAINT LOUIS, MO 63124-2168
(314) 692-8484
(314) 692-8488
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000423MO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000423
MISSOURI STATE LICENSE #
MO
05
—
SP300800422MO
—
MO
Enumeration date
09/14/2006
Last updated
12/13/2012
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