Organization
WHITE RIVER HEALTH SYSTEM, INC.
Active
Other names
WHITE RIVER MED PHYSICIANS GROUP/ PAIN MANAGEMENT
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BAXTER (PROVIDER ENROLLMENT)
(870) 262-5545
Entity
Organization
Contact information
Practice address
1700 HARRISON ST STE T, BATESVILLE, AR 72501-7315
(870) 262-6155
(870) 262-6152
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-6155
(870) 262-6512
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/31/2006
Last updated
05/02/2024
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