Organization
WASHINGTON UNIVERSITY PAIN CONTROL LLC
Active
Other names
Washington University, Dept of Anesthesia Pain Mngment
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY L EGHIGIAN (DIRECTOR, CREDENTIALING OPERATIONS)
(314) 935-0770
Entity
Organization
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 286-1045
(314) 286-1051
Mailing address
7425 FORSYTH BLVD, CAMPUS BOX 8221, SAINT LOUIS, MO 63105-2171
(314) 935-0770
(314) 935-0575
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509199808
—
MO
01
—
673341
AETNA HMO GROUP
MO
Enumeration date
06/07/2006
Last updated
07/01/2009
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