Organization
PAIN MANAGMENT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIANA PINEDA (PRESIDENT)
(816) 319-7601
Entity
Organization
Contact information
Practice address
4301 MAIN ST # 205, KANSAS CITY, MO 64111-7701
(816) 319-7601
(816) 319-7602
Mailing address
4301 MAIN ST # 205, KANSAS CITY, MO 64111-7701
(816) 319-7601
(816) 319-7602
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
MO
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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