Jill R Speca in Saint Louis - Physician Assistant

Jill R Speca - NPI 1952599631

Jill R Speca is a Physician Assistant in Saint Louis, Missouri. Jill R Speca practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jill R Speca is 1952599631. The last update date is 2021-02-22.

Jill R Speca's current location address is 670 Mason Ridge Center Dr Ste 300, Saint Louis, Missouri. You can contact this provider via phone number 3149538250 and fax number 3149538255. The mailing address for Jill R Speca is 670 Mason Ridge Center Dr Ste 300, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill R Speca
Address 670 Mason Ridge Center Dr Ste 300, Saint Louis, Missouri
Phone Number 3149538250
Fax Number 3149538255
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1952599631
Provider Enumeration Date 2007-10-09
Last Updated Date 2021-02-22

Provider Mailing Address Detail

Address 670 Mason Ridge Center Dr Ste 300
City Saint Louis
State Missouri (MO)
Post Code 631418573
Phone Number 3149538250
Fax Number 3149538255

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85003089
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jill R Speca

What is the Jill R Speca's 1952599631?

The Jill R Speca's NPI (National Provider Identifier) Number is 1952599631. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jill R Speca is geographically located?

The Jill R Speca is physically situated at the following location: 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO, 631418573.

What is the Jill R Speca's area of specialization and corresponding taxonomy classification?

The Jill R Speca's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When did the Jill R Speca receive its 1952599631?

The Jill R Speca was issued its 1952599631 on 2007-10-09, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Jill R Speca last refreshed?

The information related to the Jill R Speca, including its address, specialty, and other relevant details, was last updated on 2021-02-22.

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