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Organization

AMERICAN PAIN INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY DALE LEECH JR. D.C. (CHIEF OF STAFF)
(314) 972-3107
Entity
Organization

Contact information

Practice address
2730 S SAINT PETERS PKWY, SUITE 104, SAINT PETERS, MO 63303-5677
(314) 972-3107
Mailing address
2730 S SAINT PETERS PKWY, SUITE 104, SAINT PETERS, MO 63303-5677
(314) 972-3107

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
713780001
MO

Other

Enumeration date
02/27/2014
Last updated
09/22/2014
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