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Cmh Institute For Pain Management

Anesthesiology, Pain Medicine in Bolivar, MO. Organization (NPI-2).

NPI number1306995451
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1306995451
Entity type
Organization (NPI-2)
Legal business name
Cmh Institute For Pain Management
Organization subpart
No
Enumeration date
Jan 9, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207LP2900X Anesthesiology, Pain Medicine––Yes

Practice location

1245 N Butterfield Rd
Bolivar, MO 65613-3017

Phone 417-326-7246

Mailing address

Po Box 1547
Sedalia, MO 65302-1547

Authorized official

Mark Bult
President
6608265960

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