Organization
SOUTH COUNTY PAIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KRAMER (PRESIDENT)
(314) 324-0583
Entity
Organization
Contact information
Practice address
4116 VON TALGE RD, SAINT LOUIS, MO 63128-1957
(314) 324-0583
Mailing address
4116 VON TALGE RD, SAINT LOUIS, MO 63128-1957
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/21/2011
Last updated
09/30/2013
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