Organization · Type 2 NPI
Spinnakers LLC
Specialist · Ellisville, MO
NPI number
1962785295
Active
Practice location
15620 Manchester Rd, Suite 33
Ellisville, MO 63011-2276
Fax (757) 215-0779
Mailing address
16029 Meadow Oak Dr
Chesterfield, MO 63017-7242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Physical Medicine & Rehabilitation Physician | 208100000X | None listed |
| Clinical Medical Laboratory | 291U00000X | 26D2031980 (MO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
About NPI 1962785295
Spinnakers LLC's National Provider Identifier is 1962785295, issued on Sep 22, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ellisville, MO. The record was last updated on May 7, 2012.