# PAIN PUMP PROFESSIONALS LLC

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

## Provider details

- **NPI number:** 1407678865
- **Authorized official:** MS. TIFFANY CHILTON (OFFICE MANAGER)
- **Authorized official phone:** (573) 890-0870

## Contact information

- **Practice address:** 50 VFW RD, ELDON, MO 65026-4685
- **Practice address phone:** (573) 673-6971
- **Mailing address:** PO BOX 25, ELDON, MO 65026-0025
- **Mailing address phone:** (573) 890-0870
- **Mailing address fax:** (573) 224-4393

## Taxonomy

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

## Other

- **Enumeration date:** 10/28/2024
- **Last updated:** 03/13/2025