Organization
INTERVENTIONAL PAIN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIS GHEITH MD (OWNER)
(773) 251-5277
Entity
Organization
Contact information
Practice address
1479 HWY 61, SUITE D, CRYSTAL CITY, MO 63019
(773) 251-5277
Mailing address
1479 HWY 61, SUITE D, CRYSTAL CITY, MO 63019
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2008003901
MO
208VP0000X
Pain Medicine Physician
Primary
2008003901
MO
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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