Organization
PAIN RELIEF ASSOCIATES LLC
Active
Other names
Breakthrough Pain Relief Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J WISE (MANAGING MEMBER)
(636) 946-0799
Entity
Organization
Contact information
Practice address
190 SPRING DR, SAINT CHARLES, MO 63303-3255
(636) 946-0799
(636) 946-3166
Mailing address
PO BOX 790126, DEPT 10203, SAINT LOUIS, MO 63179-0126
(636) 600-1137
(636) 600-0412
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
07/02/2012
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