NPI: 1033409198
Provider Name: FOUR STATES PAIN RELIEF INSTITUTE, LLC
Doing Business As: 4 CORNERS PAIN RELIEF INSTITUTE, LLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization
Specialization: Pain Medicine
CLIA Number: 26D2027299
Address:
2650 E 32ND ST
SUITE 101
JOPLIN, MO
ZIP 64804
Phone: (417) 624-4277
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FOUR STATES PAIN RELIEF INSTITUTE, LLC is a pain medicine anesthesiology in Joplin, MO. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. FOUR STATES PAIN RELIEF INSTITUTE, LLC NPI is 1033409198. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As 4 Corners Pain Relief Institute, Llc.
The provider's business location address is:
2650 E 32ND ST
SUITE 101
JOPLIN, MO
ZIP 64804-313
Phone: (417) 624-4277
Fax: (417) 624-4297
The provider's authorized official is John Knudsen Iii .
The authorized official title is Owner and has the following contact phone number (417) 624-4277.
The CLIA number assigned to this NPI record is 26D2027299 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/11/2011 and was last updated on 8/8/2013.