Organization · Type 2 NPI

Interventional Center for Pain

Specialist · St. Louis, MO

NPI number 1508067208 Active

Practice location

5203 Chippewa St, Suite 301
St. Louis, MO 63109-2356

Call (314) 481-5000 Map

Fax (314) 481-3037

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508067208

Interventional Center for Pain's National Provider Identifier is 1508067208, issued on May 30, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 19, 2010.