Organization
PAIN PUMP PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY CHILTON (OFFICE MANAGER)
(573) 890-0870
Entity
Organization
Contact information
Practice address
50 VFW RD, ELDON, MO 65026-4685
(573) 673-6971
Mailing address
PO BOX 25, ELDON, MO 65026-0025
(573) 890-0870
(573) 224-4393
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
03/13/2025
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