Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Specialty & Primary Care LLC

Organization Gastroenterology Physician · NPI 1104954692

Specialty & Primary Care LLC is a Gastroenterology Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3009 N Ballas Rd Ste 229A
Saint Louis, MO 63131-2322
Phone: (314) 432-5144
Fax: (314) 432-2400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 109425 (MO)

Record details

NPI number1104954692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nayyer Ibrahim — Administrator · (314) 432-5144
NPI enumeratedFebruary 28, 2007
Last updated in NPPESMarch 17, 2009
Mailing address3009 N Ballas Rd, Suite 229a, Saint Louis, MO 63131-2322

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