Organization
MISSOURI PAIN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DOUGLAS KULA CRAGG D.C. (OWNER)
(314) 378-2085
Entity
Organization
Contact information
Practice address
12607 OLIVE BLVD, CREVE COEUR, MO 63141
(314) 327-8070
(314) 228-1891
Mailing address
8045 BIG BEND BLVD, STE 107, WEBSTER GROVES, MO 63119
(314) 961-7181
(314) 961-6323
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
10/22/2018
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