Organization
ADVANCED SPINE AND PAIN CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GOODWIN (MANAGER)
(501) 219-1114
Entity
Organization
Contact information
Practice address
410 DENISON ST, CONWAY, AR 72034-6128
(501) 219-1114
Mailing address
410 DENISON ST, CONWAY, AR 72034-6128
(501) 764-1437
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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