# EUREKA PAIN CLINIC LLC

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

## Provider details

- **NPI number:** 1073924833
- **Authorized official:** MRS. SAVITHA KUNHIRAMAN (MANAGER)
- **Authorized official phone:** (636) 326-4414

## Contact information

- **Practice address:** 54 THE LEGENDS PKWY, SUITE 153, EUREKA, MO 63025-3803
- **Practice address phone:** (636) 326-4414
- **Mailing address:** 349 TRAILHEAD WAY, DARDENNE PRAIRIE, MO 63368-7599
- **Mailing address phone:** (636) 326-4414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 2004011002 | MO | Yes |

## Other

- **Enumeration date:** 05/14/2014
- **Last updated:** 05/14/2014