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Organization
ADVANCED PAIN MANAGEMENT PA
Active
Organization
ADVANCED PAIN MANAGEMENT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY DEHARDT (PRACTICE ADMINISTRATOR)
(913) 302-2703
Entity
Organization
Contact information
Practice address
C/O CENTERPOINT MEDICAL CENTER, 19550 E 39TH ST, STE 110, INDEPENDENCE, MO 64057-2353
(816) 698-8900
(816) 698-8905
Mailing address
3604 SADDLE RIDGE, INDEPENDENCE, MO 64057-2332
(913) 302-2703
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
09/28/2021
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