Organization
ADVANTAGE PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H. KENNETH GILBERTSON D.C. (OWNER)
(314) 739-2900
Entity
Organization
Contact information
Practice address
11903 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2623
(314) 770-0900
(314) 770-1623
Mailing address
11903 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2623
(314) 739-2900
(314) 770-1623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
003647
MO
208D00000X
General Practice Physician
Primary
—
—
247200000X
Other Technician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/21/2009
Last updated
02/25/2013
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