Advantage Pain Management Inc
Organization Active NPI General Practice Physician · Bridgeton, MO
NPI 1770715906 · NPPES record last updated Feb 25, 2013
Key facts
- NPI
- 1770715906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- ADVANTAGE PAIN MANAGEMENT INC
- Practice address
- 11903 Saint Charles Rock Rd
Bridgeton, MO 63044-2623 - Phone
- (314) 770-0900
- Fax
- (314) 770-1623
- NPI assigned
- Aug 21, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. H. Kenneth Gilbertson, D.C.
- Title
- Owner
- Phone
- (314) 739-2900
National Provider Directory
Locations
11903 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 739-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 003647 | MO | |
| General Practice Physician |
208D00000X | Yes | ||
| Other Technician |
247200000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Medical Physician Assistant |
363AM0700X |
Addresses
Primary practice location
11903 Saint Charles Rock Rd
Bridgeton, MO 63044-2623
Mailing address
11903 Saint Charles Rock Rd
Bridgeton, MO 63044-2623
Phone (314) 739-2900
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- Oluseyi Akano
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All providers in Bridgeton, MO · General Practice Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.