Organization
ADVANCED INTERVENTIONAL PAIN AND DIAGNOSTICS OF WESTERN ARKANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R SWICEGOOD MD, FIPP (OWNER)
(479) 452-0882
Entity
Organization
Contact information
Practice address
7303 ROGERS AVE, SUITE 100, FORT SMITH, AR 72903-4106
(479) 452-0882
(479) 314-5698
Mailing address
7303 ROGERS AVE, SUITE 100, FORT SMITH, AR 72903-4106
(479) 452-0882
(479) 314-5698
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164190002
—
AR
Enumeration date
05/19/2006
Last updated
09/19/2007
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