Organization
OLYMPIC REHAB WELLNESS AND PAIN CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER BEYZER M.D. (OWNER)
(314) 849-1003
Entity
Organization
Contact information
Practice address
10420 OLD OLIVE STREET RD STE 305, SAINT LOUIS, MO 63141-5914
(314) 849-1003
(314) 455-3469
Mailing address
10420 OLD OLIVE STREET RD STE 305, SAINT LOUIS, MO 63141-5914
(314) 849-1003
(314) 455-3469
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
111213
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507194207
—
MO
Enumeration date
08/13/2006
Last updated
06/09/2024
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