Organization
ST LOUIS PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN HENDERSON (ACCT MANAGER)
(314) 432-2580
Entity
Organization
Contact information
Practice address
777 N NEW BALLAS RD, ST LOUIS, MO 63141
(314) 432-2580
(314) 432-0223
Mailing address
PO BOX 1209, MARYLAND HEIGHTS, MO 63043-0209
(314) 432-2580
(314) 432-0223
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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