# PAIN MANAGEMENT PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053690404
- **Authorized official:** CANDACE MANGRUM (OFFICE MANAGER)
- **Authorized official phone:** (314) 275-8737

## Contact information

- **Practice address:** 3555 SUNSET OFFICE DR, SUITE C110, SAINT LOUIS, MO 63127-1015
- **Practice address phone:** (314) 909-8778
- **Practice address fax:** (314) 909-8777
- **Mailing address:** PO BOX 798348, SAINT LOUIS, MO 63179-8000
- **Mailing address phone:** (314) 275-8737
- **Mailing address fax:** (314) 205-1508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/03/2012