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Organization

PAIN AND REHABILITATION SPECIALISTS OF ST. LOUIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAREN O WILSON (OFFICE MANAGER)
(636) 219-6634
Entity
Organization

Contact information

Practice address
14825 NORTH OUTER 40, SUITE 360, CHESTERFIELD, MO 63017
(314) 336-2750
(314) 336-2571
Mailing address
14825 NORTH OUTER 40, SUITE 360, CHESTERFIELD, MO 63017
(314) 336-2750
(314) 336-2571

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
2009025407
MO

Other

Enumeration date
11/10/2009
Last updated
05/31/2012
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