Organization
ELITE PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOLIN (BILLING MANAGER)
(417) 888-0167
Entity
Organization
Contact information
Practice address
5780 OSAGE BEACH PKWY STE 113, OSAGE BEACH, MO 65065-3188
(573) 693-9080
(417) 888-0189
Mailing address
222 E PRIMROSE ST STE E, SPRINGFIELD, MO 65807-5233
(417) 888-0167
(417) 888-0189
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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