Organization
XIAOHUI'S MEDICAL, LLC
Active
Other names
Select Pain and Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIAOHUI FAN MD (OWNER)
(573) 756-3400
Entity
Organization
Contact information
Practice address
618 MAPLE VALLEY DR, 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
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ2035
MEDICARE RAILROAD
MO
Enumeration date
01/07/2010
Last updated
09/28/2022
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