Organization
SEMO PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD ASLAM KHAN (OWNER)
(573) 359-4321
Entity
Organization
Contact information
Practice address
907 E REED ST, HAYTI, MO 63851-1242
(573) 359-3230
Mailing address
2903 W STATE HIGHWAY 84, BRAGG CITY, MO 63827-9673
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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