# ADVANCED INTERVENTIONAL PAIN AND DIAGNOSTICS OF WESTERN ARKANSAS, LLC

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

## Provider details

- **NPI number:** 1831142876
- **Authorized official:** JOHN R SWICEGOOD MD, FIPP (OWNER)
- **Authorized official phone:** (479) 452-0882

## Contact information

- **Practice address:** 7303 ROGERS AVE, SUITE 100, FORT SMITH, AR 72903-4106
- **Practice address phone:** (479) 452-0882
- **Practice address fax:** (479) 314-5698
- **Mailing address:** 7303 ROGERS AVE, SUITE 100, FORT SMITH, AR 72903-4106
- **Mailing address phone:** (479) 452-0882
- **Mailing address fax:** (479) 314-5698

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 09/19/2007