Organization
CONWAY PAIN CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEVIN ALLEN SMITH M.D. (ORGANIZER/ PRESIDENT)
(501) 327-6665
Entity
Organization
Contact information
Practice address
2425 PRINCE ST, SUITE 3, CONWAY, AR 72034-3746
(501) 358-6560
(877) 653-3202
Mailing address
2425 PRINCE ST, SUITE 3, CONWAY, AR 72034-3746
(501) 358-6560
(877) 653-3202
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MC3115
AR
Other
Enumeration date
06/19/2015
Last updated
03/30/2016
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