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NPI Code Detail

MEDICARE: JULIANNE CARROLL SPIROS DO

MEDICARE: JULIANNE CARROLL SPIROS DO
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
12084P0800XPsychiatry Physician2024026579MO
22084P0800XPsychiatry PhysicianUO7011FL

General Provider Information

NPI Number : 1194354282
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANNE CARROLL SPIROS DO
Provider Business Mailing Address
First Line : 10010 KENNERLY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63128-2106
Country : US
Telephone Number : 314-255-8055
Fax Number :
Provider Business Practice Location Address
First Line : 10018 KENNERLY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63128-2106
Country : US
Telephone Number : 314-251-6663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2020
Last Update Date : 12/12/2025

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