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Organization
PAIN MANAGEMENT PARTNERS LLC
Active
Organization
PAIN MANAGEMENT PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE MANGRUM (OFFICE MANAGER)
(314) 275-8737
Entity
Organization
Contact information
Practice address
3555 SUNSET OFFICE DR, SUITE C110, SAINT LOUIS, MO 63127-1015
(314) 909-8778
(314) 909-8777
Mailing address
PO BOX 798348, SAINT LOUIS, MO 63179-8000
(314) 275-8737
(314) 205-1508
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/16/2011
Last updated
08/03/2012
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