CHESTERFIELD SPINE & SPORTS MEDICINE CENTER LLC
Organization (NPI-2)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1134522881- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 16216 BAXTER RD SUITE 190, CHESTERFIELD, MO, 630174770
- Phone
- (270) 252-5840
- Fax
- (636) 778-1179
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: MO #2012011134