Organization
MINERAL AREA PAIN CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN W ORR D.C. (PHYSICIAN)
(573) 756-3400
Entity
Organization
Contact information
Practice address
618 MAPLE VALLEY DRIVE, FARMINGTON, MO 63640-1976
(573) 756-3400
(573) 756-0800
Mailing address
608 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-3400
(573) 756-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114791
BCBS MO GROUP #
MO
Enumeration date
07/14/2006
Last updated
09/28/2022
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