INTERVENTIONAL PAIN CENTER OF CHESTERFIELD L L C NPI 1922144484

NPI Information

INTERVENTIONAL PAIN CENTER OF CHESTERFIELD L L C is an ambulatory surgical clinic center in Chesterfield, MO. INTERVENTIONAL PAIN CENTER OF CHESTERFIELD L L C NPI is 1922144484. The provider is registered as an organization entity type.

The provider's business location address is:

17300 N OUTER 40
100
CHESTERFIELD, MO
ZIP 63005-364
Phone: (636) 728-1977
Fax: (636) 778-1488

The provider's authorized official is Sabrina Dydell .
The authorized official title is Administrator and has the following contact phone number (636) 728-1977.

The CLIA number assigned to this NPI record is 26D2001523 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/31/2023.

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:

Other Identifiers

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

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