Organization
ADVANCED PAIN SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER P CREIGHTON MD (OWNER)
(314) 966-9162
Entity
Organization
Contact information
Practice address
7510 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(314) 647-3855
(314) 647-1964
Mailing address
7510 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(314) 647-3855
(314) 647-1964
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MO110005
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204786107
—
MO
01
—
DA5185
MEDICARE RR
MO
Enumeration date
01/08/2007
Last updated
06/26/2015
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