| NPI | 1861832503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT SHAPIRO Owner 314-222-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MO 27603) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2014-06-13 |