Organization
MISSOURI PAIN CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAXTON ECK (FRONT OFFICE ASSISTANT)
(417) 622-5736
Entity
Organization
Contact information
Practice address
2705 S RANGE LINE RD STE C, JOPLIN, MO 64804-3283
(417) 622-5736
(417) 622-5736
Mailing address
2705 S RANGE LINE ROAD, SUITE C, JOPLIN, MO 64804
(417) 622-5736
(417) 622-5736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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