Brentwood Painstop LLC
NPI #1225548290 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1225548290
- Entity Type
- Organization
- Organization Name
- Brentwood Painstop LLC
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- Oct 4, 2017
- Last Updated
- Oct 4, 2017
Practice Location
- Address
- 8045 BIG BEND BLVD STE 107
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63119-2714
- Phone
- (314) 961-7181
Authorized Official
- Name
- NICHOLAS J DIVAN, DC
- Title
- CHIROPRACTOR
- Phone
- (314) 961-7181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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