| Pain Management Centers Of St. Louis, Inc. | |
|
8045 Big Bend Blvd Suite 201 Webster Groves MO 63119-2714 | |
| (314) 374-3408 | |
| Not Available |
| Full Name | Pain Management Centers Of St. Louis, Inc. |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 8045 Big Bend Blvd, Webster Groves, Missouri |
| Authorized Official Name and Position | Mitchell Liberman (CEO) |
| Authorized Official Contact | 3143743408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Management Centers Of St. Louis, Inc. 8045 Big Bend Blvd Suite 201 Webster Groves MO 63119-2714 Ph: (314) 374-3408 | Pain Management Centers Of St. Louis, Inc. 8045 Big Bend Blvd Suite 201 Webster Groves MO 63119-2714 Ph: (314) 374-3408 |
| NPI Number | 1013280973 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013280973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 112767 (Missouri) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 2007001540 (Missouri) | Primary |
St Louis Medical Rehab Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8045 Big Bend Blvd, Suite 201, Webster Groves, MO 63119 Phone: 314-443-8667 |