Bridgeton Pain Group

NPI #1114626462 in Bridgeton, Missouri

Provider Information

NPI Number: 1114626462
Entity Type: Organization
Organization Name: Bridgeton Pain Group
Primary Specialty: General Practice
Enumeration Date: Feb 27, 2023
Last Updated: Oct 30, 2023

Practice Location

Address: 11520 SAINT CHARLES ROCK RD STE 201
City: Bridgeton
State: Missouri
ZIP Code: 63044
Phone: (314) 526-6093

Authorized Official

Name: MITCHELL LIBERMAN
Title: PRESIDENT
Phone: (314) 526-6093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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