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Organization
ST LOUIS JOINT AND BACK PAIN SPECIALISTS LLC
Active
Organization
ST LOUIS JOINT AND BACK PAIN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM SHOMSTEIN DO (OWNER)
(314) 516-3289
Entity
Organization
Contact information
Practice address
10420 OLD OLIVE STREET RD STE 205, CREVE COEUR, MO 63141-5937
(314) 516-3289
Mailing address
1365 NYKIEL CT, BALLWIN, MO 63011-4246
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/04/2017
Last updated
06/04/2017
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