NPI 1265720114

Mid Missouri Pain Management LLC

Organisation Pain Medicine Physician Columbia, MO

Practice location

Address: 811 N Keene St, Columbia, MO 65201-6634
Phone: (573) 777-4878
Fax: (573) 777-4466
Mailing address: PO Box 7096, Stockton, CA 95267-0096

Authorised official

Name: Bradford Noble
Title: Owner/President
Phone: (573) 777-4878

Registered specialties (2)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Missouri →

Interventional Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Registry record

NPI: 1265720114
Entity type: Organization
NPI issued: 13 Jul 2011
Record last updated: 3 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.