Organization
FOUR STATES PAIN RELIEF INSTITUTE, LLC
Active
Other names
4 Corners Pain Relief Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KNUDSEN III MD (OWNER)
(417) 624-4277
Entity
Organization
Contact information
Practice address
2650 E 32ND ST, SUITE 101, JOPLIN, MO 64804-4313
(417) 624-4277
(417) 624-4297
Mailing address
1515 E 32ND ST, STE B, JOPLIN, MO 64804-2905
(417) 624-4277
(417) 624-4297
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
08/08/2013
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