| NPI | 1669484119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BEYZER Owner 314-849-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MO 111213) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2024-01-22 |