| NPI | 1205571734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUNJ GOVIND PATEL Director 314-282-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |