MISSOURI PAIN CARE GROUP LLC NPI 1952830283

NPI Information

MISSOURI PAIN CARE GROUP LLC is a family medicine in Joplin, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MISSOURI PAIN CARE GROUP LLC NPI is 1952830283. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2705 S RANGE LINE RD STE C
JOPLIN, MO
ZIP 64804-283
Phone: (417) 622-5736
Fax: (417) 622-5736

The provider's authorized official is Braxton Eck .
The authorized official title is Front Office Assistant and has the following contact phone number (417) 622-5736.

The CLIA number assigned to this NPI record is 26D2255862 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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