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Organization
PROFESSIONAL PHYSICIANS PAIN SERVICES, LLC
Active
Organization
PROFESSIONAL PHYSICIANS PAIN SERVICES, LLC
Active
Other names
Professional Pain Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT BOEDEFELD M.D. (PARTNER)
(314) 729-7100
Entity
Organization
Contact information
Practice address
10012 KENNERLY RD, SUITE 404, SAINT LOUIS, MO 63128-2197
(314) 729-7100
(314) 729-0292
Mailing address
PO BOX 31434, SAINT LOUIS, MO 63131-0434
(314) 729-7100
(314) 729-0292
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
MO
Other
Enumeration date
10/23/2009
Last updated
11/16/2009
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