Search › Missouri › 103K00000X
Spencer Gilliam
NPI 1477126159 · on the registry since 2021
Practice
- Address
- 96 Grasso Plz
Saint Louis, MO 63123 - Phone
- (636) 398-2515
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri