Organization
INTERVENTIONAL CENTER FOR PAIN
Active
Other names
Center for Interventional Pain management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GURPREET S PADDA M.D (MEDICAL DIRECTOR)
(314) 481-5000
Entity
Organization
Contact information
Practice address
5203 CHIPPEWA ST, SUITE 301, SAINT LOUIS, MO 63109-2356
(314) 481-5000
(314) 481-3037
Mailing address
5203 CHIPPEWA ST, SUITE 301, SAINT LOUIS, MO 63109-2356
(314) 481-5000
(314) 481-3037
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2016043827
MO
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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