| 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 |