# INTEGRITY REGIONAL PAIN CENTER LLC

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

## Provider details

- **NPI number:** 1700489267
- **Authorized official:** AMI POLITTE (OWNER)
- **Authorized official phone:** (636) 735-1608

## Contact information

- **Practice address:** 2865 JAMES BLVD, POPLAR BLUFF, MO 63901-2803
- **Practice address phone:** (636) 735-1608
- **Mailing address:** PO BOX 585, DE SOTO, MO 63020-0585
- **Mailing address phone:** (636) 735-1608
- **Mailing address fax:** (636) 337-5418

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2020
- **Last updated:** 12/01/2020