Organization
PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL JOHNSON MEMBER (MEMBER)
(501) 993-8300
Entity
Organization
Contact information
Practice address
650 UNITED DR STE 340, CONWAY, AR 72032-7826
(501) 358-6791
Mailing address
650 UNITED DR STE 340, CONWAY, AR 72032-7826
(501) 993-8300
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
08/21/2020
Last updated
08/23/2022
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