# PAIN CLINIC OF NORTH ARKANSAS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639401946
- **Authorized official:** LISHA HALL (BILLER/RECEPTIONIST)
- **Authorized official phone:** (870) 425-6212

## Contact information

- **Practice address:** \# 17 MEDICAL PLAZA, MOUNTAIN HOME, AR 72653
- **Practice address phone:** (870) 425-6212
- **Mailing address:** \# 17 MEDICAL PLAZA, MOUNTAIN HOME, AR 72653
- **Mailing address phone:** (870) 425-6212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | E4390 | AR | Yes |

## Other

- **Enumeration date:** 02/11/2010
- **Last updated:** 02/11/2010