Organization
PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT, LLC
Active
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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