Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pain Treatment Center Inc

Organization Pain Medicine (Anesthesiology) Physician · NPI 1295827665

Pain Treatment Center Inc is a Pain Medicine (Anesthesiology) Physician in Saint Louis, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2821 N Ballas Rd Ste C-11
Saint Louis, MO 63131-2321
Phone: (314) 872-5601
Fax: (314) 872-5628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 109904 (MO)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 036092540 (IL)

Record details

NPI number1295827665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Graham — Owner President · (314) 872-5601
NPI enumeratedSeptember 29, 2006
Last updated in NPPESApril 5, 2010
Mailing addressPo Box 953010, St Louis, MO 63195-3010

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