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Organization

MID MISSOURI PAIN MANAGEMENT LLC

Active
Other names
Noble Pain Management
Organization subpart
No

Provider details

NPI number
Authorized official
BRADFORD NOBLE DO (OWNER/PRESIDENT)
(573) 777-4878
Entity
Organization

Contact information

Practice address
811 N KEENE ST, COLUMBIA, MO 65201-6634
(573) 777-4878
(573) 777-4466
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
07/13/2011
Last updated
05/03/2018
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