# MID MISSOURI PAIN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Noble Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265720114
- **Authorized official:** BRADFORD NOBLE DO (OWNER/PRESIDENT)
- **Authorized official phone:** (573) 777-4878

## Contact information

- **Practice address:** 811 N KEENE ST, COLUMBIA, MO 65201-6634
- **Practice address phone:** (573) 777-4878
- **Practice address fax:** (573) 777-4466
- **Mailing address:** PO BOX 7096, STOCKTON, CA 95267-0096
- **Mailing address phone:** (209) 956-7725
- **Mailing address fax:** (209) 956-7733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/13/2011
- **Last updated:** 05/03/2018