| NPI | 1306839196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL N NAUSHAD President 636-638-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2017-03-08 |