| NPI | 1609915941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN D DUNTEMAN President 314-692-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MO R8N65) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |