Organization
JOPLIN PAIN CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD H ECK (AUTHORIZED OFFICIAL)
(417) 622-5736
Entity
Organization
Contact information
Practice address
2705 S RANGE LINE RD, SUITE C, JOPLIN, MO 64804-3254
(417) 622-5736
(417) 622-5736
Mailing address
4510 W CENTRAL AVE, SUITE B, WICHITA, KS 67212-2203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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