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1962491712
ALAN R SPIVACK
CHESTERFIELD, MO
NPI
1962491712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 29603)
Enumeration Date
2005-10-14
Last Update Date
2007-11-20
Business Address
-- ALAN R SPIVACK MD
313 MORRISTOWN CT
CHESTERFIELD, MO 63017-3426
Phone number: 314-275-2211
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Mailing Address
-- ALAN R SPIVACK MD
PO BOX 504214
SAINT LOUIS, MO 63150-0001
Phone number: 314-576-1610
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