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Organization
PAIN AND REHABILITATION SPECIALISTS, LLC
Active
Organization
PAIN AND REHABILITATION SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE BODE (OFFICE MANAGER)
(314) 336-2570
Entity
Organization
Contact information
Practice address
14825 N OUTER 40 RD, SUITE 365, CHESTERFIELD, MO 63017-2152
(314) 336-2570
(314) 336-2571
Mailing address
14825 N OUTER 40 RD, SUITE 365, CHESTERFIELD, MO 63017-2152
(314) 336-2570
(314) 336-2571
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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