# PROFESSIONAL PHYSICIANS PAIN SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Pain Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295062016
- **Authorized official:** MR. MICHAEL S. BOEDEFELD M. D. (PARTNER OF THE LLC)
- **Authorized official phone:** (636) 442-5035

## Contact information

- **Practice address:** 114 PIPER HILL DR, SUITE 103, SAINT PETERS, MO 63376-1661
- **Practice address phone:** (636) 442-5035
- **Practice address fax:** (636) 442-5036
- **Mailing address:** PO BOX 31434, SAINT LOUIS, MO 63131-0434
- **Mailing address phone:** (636) 442-5035
- **Mailing address fax:** (636) 442-5036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | MO | Yes |

## Other

- **Enumeration date:** 11/16/2009
- **Last updated:** 11/16/2009