Professional Physicians Pain Services, LLC
Anesthesiology, Pain Medicine in Saint Peters, MO. Organization (NPI-2).
NPI number1295062016
StatusActive
Last updated in NPPESNov 16, 2009
Details
- NPI
- 1295062016
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Physicians Pain Services, LLC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2009
- Last updated
- Nov 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | – | MO | Yes |
Other names
- Professional Pain Physicians (Doing Business As)
Practice location
114 Piper Hill DrSuite 103
Saint Peters, MO 63376-1661
Phone 636-442-5035 · Fax 636-442-5036
Mailing address
Po Box 31434Saint Louis, MO 63131-0434
Phone 636-442-5035 · Fax 636-442-5036
Authorized official
Michael S. Boedefeld
Partner Of The LLC
6364425035
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Other Pain Medicine (Anesthesiology) Physician providers in Saint Peters, MO
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- Chad Conrad Shelton, MDNPI 1194758938
- James M. Sturm, DONPI 1750441374
All 6 Pain Medicine (Anesthesiology) Physician providers in Saint Peters · All 1,786 providers in Saint Peters
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