# ADVANCED PAIN MANAGEMENT PA

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

## Provider details

- **NPI number:** 1639413347
- **Authorized official:** SHIRLEY DEHARDT (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (913) 302-2703

## Contact information

- **Practice address:** C/O CENTERPOINT MEDICAL CENTER, 19550 E 39TH ST, STE 110, INDEPENDENCE, MO 64057-2353
- **Practice address phone:** (816) 698-8900
- **Practice address fax:** (816) 698-8905
- **Mailing address:** 3604 SADDLE RIDGE, INDEPENDENCE, MO 64057-2332
- **Mailing address phone:** (913) 302-2703

## Taxonomy

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

## Other

- **Enumeration date:** 11/19/2012
- **Last updated:** 09/28/2021