Pro Pain LLC

NPI #1205339074 in Fenton, Missouri

Provider Information

NPI Number
1205339074
Entity Type
Organization
Organization Name
Pro Pain LLC
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Mar 17, 2018
Last Updated
Dec 6, 2018

Practice Location

Address
1055 BOWLES AVE STE 202
City
Fenton
ZIP Code
63026-2308
Phone
(636) 326-7821

Authorized Official

Name
MR. MICHAEL BOEDEFELD, MD
Title
OWNER
Phone
(636) 442-5035

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine

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