Organization
OPTIMAL PAIN AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA ELIZABETH THURMAN MD (OWNER)
(479) 301-2565
Entity
Organization
Contact information
Practice address
1708 E JOYCE BLVD, STE 3, FAYETTEVILLE, AR 72703-5252
(479) 301-2565
(479) 301-2717
Mailing address
1708 E JOYCE BLVD, STE 3, FAYETTEVILLE, AR 72703-5252
(479) 301-2565
(479) 301-2717
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197483716
—
AR
Enumeration date
08/19/2014
Last updated
11/26/2019
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