# AMR PAIN & SPINE CLINIC LLC

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

## Provider details

- **NPI number:** 1396126280
- **Authorized official:** DR. NABIL AHMAD M.D (MD/ OWNER)
- **Authorized official phone:** (314) 395-7699

## Contact information

- **Practice address:** 12855 N 40 DR STE 275, SAINT LOUIS, MO 63141-8667
- **Practice address phone:** (314) 395-7699
- **Mailing address:** PO BOX 412024, CREVE COEUR, MO 63141-2024
- **Mailing address phone:** (314) 395-7699
- **Mailing address fax:** (314) 878-7882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | MO | Yes |

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 05/06/2022
