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Organization

PAIN MANAGEMENT CENTERS OF ST. LOUIS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL LIBERMAN DC (CEO)
(314) 374-3408
Entity
Organization

Contact information

Practice address
8045 BIG BEND BLVD, SUITE 201, WEBSTER GROVES, MO 63119-2714
(314) 374-3408
Mailing address
8045 BIG BEND BLVD, SUITE 201, WEBSTER GROVES, MO 63119-2714
(314) 374-3408

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2007001540
MO
208D00000X
General Practice Physician
112767
MO

Other

Enumeration date
02/22/2012
Last updated
02/22/2012
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