Organization
COLUMBIA INTERVENTIONAL PAIN CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA A MESTON (ADMINISTRATOR)
(573) 442-2299
Entity
Organization
Contact information
Practice address
305 N KEENE ST, SUITE #105, COLUMBIA, MO 65201-6897
(573) 442-2299
(573) 442-3196
Mailing address
PO BOX 7237, COLUMBIA, MO 65205-7237
(573) 468-6501
(573) 468-6502
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507608008
—
MO
Enumeration date
08/17/2006
Last updated
09/24/2014
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