# DOWNTOWN PAIN MANAGEMENT CLINIC, LLC

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

## Provider details

- **NPI number:** 1598903585
- **Authorized official:** MITCHELL LIBERMAN (OWNER)
- **Authorized official phone:** (314) 588-8511

## Contact information

- **Practice address:** 703 OLIVE ST, SUITE 211, SAINT LOUIS, MO 63101-2202
- **Practice address phone:** (314) 588-8511
- **Mailing address:** 703 OLIVE ST, SUITE 211, SAINT LOUIS, MO 63101-2202
- **Mailing address phone:** (314) 588-8511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301089175 | MO | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301089175 | MO | Yes |

## Other

- **Enumeration date:** 01/28/2009
- **Last updated:** 02/02/2009