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Individual

MS. JILL R SPECA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
11125 DUNN RD STE 301, SAINT LOUIS, MO 63136-6132
(314) 953-8250
(314) 953-8255
Mailing address
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
(314) 953-8250
(314) 953-8255

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003089
IL
363A00000X
Physician Assistant
Primary
2017017216
MO

Other

Enumeration date
10/09/2007
Last updated
12/05/2025
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