Organization
PROGRESSIVE PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEHALKUMAR PARESH MODH MD (PRESIDENT)
(636) 933-7673
Entity
Organization
Contact information
Practice address
1145B E GANNON DR, FESTUS, MO 63028-2611
(636) 933-7673
(636) 937-5001
Mailing address
PO BOX 1125, MARYLAND HEIGHTS, MO 63043-0125
(314) 432-2580
(314) 432-0223
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
10/08/2024
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