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Organization
PAIN MANAGEMENT PHYSICIANS, LLC
Active
Organization
PAIN MANAGEMENT PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN STREET DO (PARTNER)
(573) 815-2700
Entity
Organization
Contact information
Practice address
1601 E BROADWAY, LOWER LEVEL, COLUMBIA, MO 65201
(573) 815-2700
(573) 815-3693
Mailing address
PO BOX 7096, STOCKTON, CA 95267
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
03/15/2012
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