Organization
PAIN RELIEF PARTNERS
Active
Other names
Breakthrough Pain Relief Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE M MANGRUM (BILLING)
(314) 275-8737
Entity
Organization
Contact information
Practice address
113 W 5TH ST, EUREKA, MO 63025-1109
(636) 938-9310
Mailing address
1585 WOODLAKE DR STE 214, CHESTERFIELD, MO 63017-5740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005031148
MO
Other
Enumeration date
11/01/2012
Last updated
01/28/2013
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