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Organization

PAIN AND REHABILITATION SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CARRIE BODE (OFFICE MANAGER)
(314) 336-2570
Entity
Organization

Contact information

Practice address
14825 N OUTER 40 RD, SUITE 365, CHESTERFIELD, MO 63017-2152
(314) 336-2570
(314) 336-2571
Mailing address
14825 N OUTER 40 RD, SUITE 365, CHESTERFIELD, MO 63017-2152
(314) 336-2570
(314) 336-2571

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
08/28/2013
Last updated
08/28/2013
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