Organization
AMERICAN PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY LEECH DC, MD (OWNER)
(855) 808-7246
Entity
Organization
Contact information
Practice address
10007 KENNERLY RD, SUITE B, SAINT LOUIS, MO 63128-2179
(314) 270-9634
(888) 241-0474
Mailing address
10007 KENNERLY RD, SUITE B, SAINT LOUIS, MO 63128-2179
(314) 270-9634
(888) 241-0474
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2013036906
MO
Other
Enumeration date
04/10/2015
Last updated
11/18/2015
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