Organization
PIASA PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS B BRUMMETT MD (MANAGING MEMBER)
(618) 465-7177
Entity
Organization
Contact information
Practice address
#3 PROFESSIONAL DRIVE, SUITE B, ACTON, IL 62002
(618) 465-7177
(618) 465-7176
Mailing address
940 WEST PORT PLAZA, STE 270, ST LOUIS, MO 63146-3118
(314) 453-0600
(314) 453-0083
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
11/08/2007
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