<Unavail>

LBN: Professional Physicians Pain Services, Llc
<Unavail> is an health care organization with primary practice located at 10012 Kennerly Rd Suite 404, Saint Louis MO 63128-2197. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Professional Physicians Pain Services, Llc can be contacted via phone (314) 729-7100, or through Boedefeld, Michael Scott via phone (314) 729-7100.

Contact Information

Primary practice address
10012 Kennerly Rd Suite 404 Saint Louis MO 63128-2197
Phone: (314) 729-7100
Fax: (314) 729-0292
Website:
Map and Directions
Authorized official contact:
Name: Boedefeld, Michael Scott Doctor of Medicine (MD)
Phone: (314) 729-7100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Missouri

Profile Details

NPI number 1487980660
LBN Legal business name Professional Physicians Pain Services, Llc
DBA Doing business as <Unavail>
Authorized official Boedefeld, Michael Scott Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2009
Last updated Nov 16th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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