Organization
PROFESSIONAL PHYSICIANS PAIN SERVICES, LLC
Active
Other names
Professional Pain Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S. BOEDEFELD M. D. (PARTNER OF THE LLC)
(636) 442-5035
Entity
Organization
Contact information
Practice address
114 PIPER HILL DR, SUITE 103, SAINT PETERS, MO 63376-1661
(636) 442-5035
(636) 442-5036
Mailing address
PO BOX 31434, SAINT LOUIS, MO 63131-0434
(636) 442-5035
(636) 442-5036
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
MO
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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