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MISSOURI SPINE ASSOCIATES LLC NPI 1649565961


NPI Information

NPI: 1649565961
Provider Name: MISSOURI SPINE ASSOCIATES, LLC

Doing Business As: MISSOURI SPINE AND PAIN MANAGEMENT

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1765 JEFFCO BLVD
ARNOLD, MO
ZIP 63010
Phone: (636) 333-3700
Get Directions

MISSOURI SPINE ASSOCIATES, LLC is a general practice in Arnold, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MISSOURI SPINE ASSOCIATES, LLC NPI is 1649565961. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Missouri Spine And Pain Management.

The provider's business location address is:

1765 JEFFCO BLVD
ARNOLD, MO
ZIP 63010-713
Phone: (636) 333-3700
Fax: (636) 333-3701

The provider's authorized official is Abirami Elangovan .
The authorized official title is Owner and has the following contact phone number (636) 333-3700.

The enumeration date for this NPI number is 6/15/2011 and was last updated on 11/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice2006037124MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MA3465MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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