# MINERAL AREA PAIN CENTER, P.C.

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

## Provider details

- **NPI number:** 1417973660
- **Authorized official:** DR. STEPHEN W ORR D.C. (PHYSICIAN)
- **Authorized official phone:** (573) 756-3400

## Contact information

- **Practice address:** 618 MAPLE VALLEY DRIVE, FARMINGTON, MO 63640-1976
- **Practice address phone:** (573) 756-3400
- **Practice address fax:** (573) 756-0800
- **Mailing address:** 608 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
- **Mailing address phone:** (573) 756-3400
- **Mailing address fax:** (573) 756-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 09/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 114791 | BCBS MO GROUP \# | MO |