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

Specialty and Primary Care LLC

Organization Gastroenterology Physician · NPI 1174742720

Specialty and 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

10004 Kennerly Rd 257 A
Saint Louis, MO 63128-2141
Phone: (314) 842-6333
Fax: (314) 543-5271
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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 number1174742720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zafar Quader — Medical Director · (314) 842-6333
NPI enumeratedApril 24, 2007
Last updated in NPPESOctober 20, 2015
Mailing address10004 Kennerly Rd, 257 A, Saint Louis, MO 63128-2141

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