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Organization
PAIN MANAGEMENT CENTERS OF ST. LOUIS, INC.
Active
Organization
PAIN MANAGEMENT CENTERS OF ST. LOUIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL LIBERMAN DC (CEO)
(314) 374-3408
Entity
Organization
Contact information
Practice address
8045 BIG BEND BLVD, SUITE 201, WEBSTER GROVES, MO 63119-2714
(314) 374-3408
Mailing address
8045 BIG BEND BLVD, SUITE 201, WEBSTER GROVES, MO 63119-2714
(314) 374-3408
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2007001540
MO
208D00000X
General Practice Physician
112767
MO
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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