Organization
MILLENNIUM PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN COLEMAN M.D. (PHYSICIAN)
(314) 756-8035
Entity
Organization
Contact information
Practice address
13131 TESSON FERRY RD, SUITE #105, SAINT LOUIS, MO 63128-3887
(314) 756-8035
(314) 756-8050
Mailing address
13131 TESSON FERRY RD, SUITE #105, SAINT LOUIS, MO 63128-3887
(314) 756-8035
(314) 756-8050
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
01/08/2009
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