Organization
OPTIMAL PAIN AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA E THURMAN MD (PRESIDENT)
(479) 301-2565
Entity
Organization
Contact information
Practice address
1708 E JOYCE BLVD, FAYETTEVILLE, AR 72703-5252
(479) 301-2565
(479) 301-2717
Mailing address
1708 E JOYCE BLVD, FAYETTEVILLE, AR 72703-5252
(479) 301-2565
(479) 301-2717
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E4490
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192058002
—
AR
Enumeration date
03/28/2012
Last updated
09/25/2019
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