| NPI | 1710018247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRA GUNAPOOTI President 314-830-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036112334) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-06-30 |