| NPI | 1780621789 |
|---|---|
| Doing Business As | PHYSICIANS PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN ALAN VELLINGA Physician/Owner 636-936-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: MO R5P16) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: MO R5P16) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-05-09 |