NPI | 1639695794 |
---|---|
Entity Type | Organization |
Authorized Contact | DANE POHLMAN President/CEO 314-283-8738 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS14281) | |
Enumeration Date | 2017-08-20 |
Last Update Date | 2023-05-25 |