Advanced Pain Management

NPI #1043612450 in Grover, Missouri

Provider Information

NPI Number
1043612450
Entity Type
Organization
Organization Name
Advanced Pain Management
Primary Specialty
Clinic/Center
Enumeration Date
Sep 17, 2014
Last Updated
Sep 17, 2014

Practice Location

Address
16759 MAIN ST
Address 2
SUITE 220
City
Grover
ZIP Code
63040-1232
Phone
(636) 273-6711

Authorized Official

Name
JULIE UNDERWOOD
Title
MANAGER
Phone
(636) 273-6711

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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