Organization
PAIN MANAGEMENT REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE JOSEPH KLEIN M.D. (PHYSICIAN)
(636) 294-6322
Entity
Organization
Contact information
Practice address
103 CHURCH ST, O FALLON, MO 63366-2894
(636) 294-6322
(636) 294-6323
Mailing address
103 CHURCH ST, O FALLON, MO 63366-2894
(636) 294-6322
(636) 294-6323
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2006031936
MO
Other
Enumeration date
12/28/2011
Last updated
01/09/2012
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