Organization
PRESTIGE SPINE WEST LITTLE ROCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL JOHNSON (MANAGER)
(601) 540-5450
Entity
Organization
Contact information
Practice address
1811 RAHLING RD, LITTLE ROCK, AR 72223-4677
(501) 227-2220
Mailing address
1811 RAHLING RD, LITTLE ROCK, AR 72223-4677
(501) 227-2220
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
07/16/2021
Last updated
08/23/2022
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