Elite Pain Management, LLC
Organization Active NPI Specialist · Galena, KS
NPI 1083098115 · NPPES record last updated Feb 26, 2019
Key facts
- NPI
- 1083098115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ELITE PAIN MANAGEMENT, LLC
- Practice address
- 1601 K66 Ste C
Galena, KS 66739-4306 - Phone
- (417) 553-1404
- Fax
- (417) 553-1604
- NPI assigned
- Jul 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Aries E Sparks
- Title
- Operations Assistant
- Phone
- (417) 888-0167
Member of 1
National Provider Directory
Locations
1601 K66
Ste C
Galena, KS 66739
Phone (417) 553-1404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
1601 K66 Ste C
Galena, KS 66739-4306
Mailing address
222 E Primrose St Ste E
Springfield, MO 65807-5233
Phone (417) 888-0167
Other providers in Galena, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.