# SEMO PAIN CENTER LLC

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

## Provider details

- **NPI number:** 1871245167
- **Authorized official:** MR. MUHAMMAD ASLAM KHAN (OWNER)
- **Authorized official phone:** (573) 359-4321

## Contact information

- **Practice address:** 907 E REED ST, HAYTI, MO 63851-1242
- **Practice address phone:** (573) 359-3230
- **Mailing address:** 2903 W STATE HIGHWAY 84, BRAGG CITY, MO 63827-9673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2022
- **Last updated:** 01/19/2022