Organization
SPINNAKERS LLC
Active
Organization
SPINNAKERS LLC
Active
Other names
SpinnakerMED
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZIA IQBAL (CEO)
(314) 757-7244
Entity
Organization
Contact information
Practice address
15620 MANCHESTER RD, SUITE 33, ELLISVILLE, MO 63011-2276
(314) 757-7244
(757) 215-0779
Mailing address
16029 MEADOW OAK DR, CHESTERFIELD, MO 63017-7242
(314) 757-7244
(757) 215-0779
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
291U00000X
Clinical Medical Laboratory
26D2031980
MO
Other
Enumeration date
09/22/2011
Last updated
05/07/2012
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