NPI | 1508363946 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA A ADAMS Partner 636-395-2515 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
261QP3300X Clinic/Center, Pain | |
Enumeration Date | 2018-04-11 |
Last Update Date | 2018-04-11 |