| NPI | 1295937423 |
|---|---|
| Doing Business As | BREAKTHROUGH PAIN RELIEF CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN MEURET Owner 314-275-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO MO100753) |
| Additional Taxonomies | 111NR0400X (Licence: MO 2003006353) |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2011-12-23 |