BRENTWOOD PAINSTOP LLC

SAINT LOUIS, MO
NPI1225548290
Entity TypeOrganization
Authorized ContactNICHOLAS J DIVAN
Chiropractor
314-961-7181
Organization Subpart ?No
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: MO  2014010441)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
(Licence: MO  2014010441)
Enumeration Date2017-10-04
Last Update Date2017-10-04
Business Address
BRENTWOOD PAINSTOP LLC
8045 BIG BEND BLVD STE 107
SAINT LOUIS, MO 63119-2714
Phone number: 314-961-7181
Mailing Address
BRENTWOOD PAINSTOP LLC
8045 BIG BEND BLVD STE 107
SAINT LOUIS, MO 63119-2714
Phone number: 314-961-7181