# OLYMPIC REHAB WELLNESS AND PAIN CENTER PC

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

## Provider details

- **NPI number:** 1669484119
- **Authorized official:** DR. ALEXANDER BEYZER M.D. (OWNER)
- **Authorized official phone:** (314) 849-1003

## Contact information

- **Practice address:** 10420 OLD OLIVE STREET RD STE 305, SAINT LOUIS, MO 63141-5914
- **Practice address phone:** (314) 849-1003
- **Practice address fax:** (314) 455-3469
- **Mailing address:** 10420 OLD OLIVE STREET RD STE 305, SAINT LOUIS, MO 63141-5914
- **Mailing address phone:** (314) 849-1003
- **Mailing address fax:** (314) 455-3469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 111213 | MO | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 06/09/2024