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Organization

MIDWEST PAIN CENTER, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN G. SMITH M.D. (OWNER)
(636) 519-8889
Entity
Organization

Contact information

Practice address
17300 N OUTER 40, STE. 100, CHESTERFIELD, MO 63005-1364
(636) 519-8889
(636) 536-0120
Mailing address
17300 N OUTER 40, STE. 100, CHESTERFIELD, MO 63005-1364
(636) 519-8889
(636) 536-0120

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3N29
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811988942
NPI
MO
01
D87033
UPIN
MO
Enumeration date
12/04/2007
Last updated
03/07/2023
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