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Organization

SPA CITY PAIN MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD CRABTREE DO (DIRECTOR)
(501) 651-0018
Entity
Organization

Contact information

Practice address
117 PIPER ST STE L, HOT SPRINGS, AR 71901-8263
(501) 651-0018
(501) 463-6326
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7215
(501) 812-7207

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1760649388
NPI
AR
Enumeration date
01/03/2022
Last updated
08/02/2022
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