# JOPLIN PAIN CARE GROUP LLC

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

## Provider details

- **NPI number:** 1902332448
- **Authorized official:** TODD H ECK (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (417) 622-5736

## Contact information

- **Practice address:** 2705 S RANGE LINE RD, SUITE C, JOPLIN, MO 64804-3254
- **Practice address phone:** (417) 622-5736
- **Practice address fax:** (417) 622-5736
- **Mailing address:** 4510 W CENTRAL AVE, SUITE B, WICHITA, KS 67212-2203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2017
- **Last updated:** 05/03/2017