Organization
PAIN RELIEF CENTER OF ST LOUIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRACHUR BANERJEE (OWNER)
(314) 282-3990
Entity
Organization
Contact information
Practice address
1115 OLIVETTE EXECUTIVE PKWY, SAINT LOUIS, MO 63132-3259
(314) 282-3990
Mailing address
1115 OLIVETTE EXECUTIVE PKWY, SAINT LOUIS, MO 63132-3259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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