# PAIN RELIEF CENTER OF ST LOUIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356986541
- **Authorized official:** CHANDRACHUR BANERJEE (OWNER)
- **Authorized official phone:** (314) 282-3990

## Contact information

- **Practice address:** 1115 OLIVETTE EXECUTIVE PKWY, SAINT LOUIS, MO 63132-3259
- **Practice address phone:** (314) 282-3990
- **Mailing address:** 1115 OLIVETTE EXECUTIVE PKWY, SAINT LOUIS, MO 63132-3259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2019
- **Last updated:** 11/12/2019