Organization
INTERVENTIONAL PAIN SPECIALISTS OF NWA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LODDIE CONWAY (RECEPTIONIST)
(479) 595-8192
Entity
Organization
Contact information
Practice address
509 E MILLSAP RD STE 109, FAYETTEVILLE, AR 72703-4862
(479) 595-8192
(479) 442-1748
Mailing address
509 E MILLSAP RD STE 109, FAYETTEVILLE, AR 72703-4862
(479) 595-8192
(479) 442-1748
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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