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Organization
ADVANCED INTERVENTIONAL PAIN AND DIAGNOSTICS OF WESTERN ARKANSAS, LLC
Active
Organization
ADVANCED INTERVENTIONAL PAIN AND DIAGNOSTICS OF WESTERN ARKANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R SWICEGOOD MD, FIPP (OWNER)
(479) 452-0882
Entity
Organization
Contact information
Practice address
7303 ROGERS AVE, SUITE 100, FORT SMITH, AR 72903-4106
(479) 452-0882
(479) 314-5698
Mailing address
7303 ROGERS AVE, SUITE 100, FORT SMITH, AR 72903-4106
(479) 452-0882
(479) 314-5698
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
09/19/2007
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