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NPI Code Detail

MEDICARE: SP EMR MED ASSOCIATES LLC

MEDICARE: SP EMR MED ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/CenterR6D97MO

General Provider Information

NPI Number : 1083759062
Entity Type Code : Organization
Provider Name (Legal Business Name) : SP EMR MED ASSOCIATES LLC
Provider Business Mailing Address
First Line : 1801 SPRINGDALE ACRES LN
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-3627
Country : US
Telephone Number : 636-625-1650
Fax Number : 636-625-1395
Provider Business Practice Location Address
First Line : 7909 HIGHWAY N
Second Line :
City : DARDENNE PRAIRIE
State : MO
Zip : 63368-7382
Country : US
Telephone Number : 636-625-1650
Fax Number : 636-625-1395
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : SHIRIN PINTO
Credential : MD
Telephone Number : 636-625-1560
Provider Enumeration Date : 02/20/2007
Last Update Date : 11/16/2014

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Directions to “SP EMR MED ASSOCIATES LLC ” Practice Location

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