# MISSOURI PAIN CARE GROUP LLC

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

## Provider details

- **NPI number:** 1952830283
- **Authorized official:** BRAXTON ECK (FRONT OFFICE ASSISTANT)
- **Authorized official phone:** (417) 622-5736

## Contact information

- **Practice address:** 2705 S RANGE LINE RD STE C, JOPLIN, MO 64804-3283
- **Practice address phone:** (417) 622-5736
- **Practice address fax:** (417) 622-5736
- **Mailing address:** 2705 S RANGE LINE ROAD, SUITE C, JOPLIN, MO 64804
- **Mailing address phone:** (417) 622-5736
- **Mailing address fax:** (417) 622-5736

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2017
- **Last updated:** 07/21/2022