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

Professional Physicians Pain Services, LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1487980660

Professional Physicians Pain Services, LLC is a Pain Medicine (Anesthesiology) Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10012 Kennerly Rd Ste 404
Saint Louis, MO 63128-2197
Phone: (314) 729-7100
Fax: (314) 729-0292
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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 (MO)

Record details

NPI number1487980660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Boedefeld — Partner · (314) 729-7100
Other names Professional Pain Physicians
NPI enumeratedOctober 23, 2009
Last updated in NPPESNovember 16, 2009
Mailing addressPo Box 31434, Saint Louis, MO 63131-0434

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