Organization
PAIN TREATMENT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SHAWN BRASSFIELD (OFFICE MANAGER)
(417) 256-2225
Entity
Organization
Contact information
Practice address
1410 DOCTORS DR, WEST PLAINS, MO 65775-4754
(417) 256-2225
(417) 256-2373
Mailing address
1410 DOCTORS DR, WEST PLAINS, MO 65775-4754
(417) 256-2225
(417) 256-2373
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD 102941
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501035208
—
MO
Enumeration date
08/30/2006
Last updated
05/19/2020
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