Organization · Type 2 NPI
Integrated Pain Group, LLC
General Practice Physician · St. Louis, MO
NPI number
1417820598
Active
Practice location
6155 S Grand Blvd Ste 145
St. Louis, MO 63111-2319
Mailing address
12685 Dorsett Rd Ste 307
Maryland Heights, MO 63043-2100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1417820598
Integrated Pain Group, LLC's National Provider Identifier is 1417820598, issued on Sep 25, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 25, 2025.