NPI 1225548290

Brentwood Painstop LLC

Organisation Pain Medicine (Physical Medicine & Rehabilitation) Physician Saint Louis, MO

Practice location

Address: 8045 Big Bend Blvd STE 107, Saint Louis, MO 63119-2714
Phone: (314) 961-7181

Authorised official

Name: Nicholas J Divan
Title: Chiropractor
Phone: (314) 961-7181

Registered specialties (2)

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 2014010441 (MO)

Other Physical Medicine & Rehabilitation providers in Missouri →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X Licence 2014010441 (MO)

Other Case Manager/Care Coordinator providers in Missouri →

Registry record

NPI: 1225548290
Entity type: Organization
NPI issued: 4 Oct 2017
Record last updated: 4 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.