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Organization

PROFESSIONAL PHYSICIANS PAIN SERVICES, LLC

Active
Other names
Professional Pain Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SCOTT BOEDEFELD M.D. (PARTNER)
(314) 729-7100
Entity
Organization

Contact information

Practice address
10012 KENNERLY RD, SUITE 404, SAINT LOUIS, MO 63128-2197
(314) 729-7100
(314) 729-0292
Mailing address
PO BOX 31434, SAINT LOUIS, MO 63131-0434
(314) 729-7100
(314) 729-0292

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MO

Other

Enumeration date
10/23/2009
Last updated
11/16/2009
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