Organization
INTEGRITY REGIONAL PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMI POLITTE (OWNER)
(636) 735-1608
Entity
Organization
Contact information
Practice address
2865 JAMES BLVD, POPLAR BLUFF, MO 63901-2803
(636) 735-1608
Mailing address
PO BOX 585, DE SOTO, MO 63020-0585
(636) 735-1608
(636) 337-5418
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
12/01/2020
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