Organization
CENTRAL ARKANSAS PAIN CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L BOOS JR. MD (PRESIDENT)
(501) 262-1000
Entity
Organization
Contact information
Practice address
307 CARPENTER DAM RD STE F, HOT SPRINGS, AR 71901-8282
(501) 262-1000
(501) 262-1011
Mailing address
307 CARPENTER DAM RD STE F, HOT SPRINGS, AR 71901-8282
(501) 262-1000
(501) 262-1011
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
N8196
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163020002
—
AR
01
—
375580
HEALTHLINK
AR
01
—
5F679
BLUE CROSS
AR
01
—
612385300
DEPT OF LABOR
AR
01
—
90363000000
QUALCHOICE
AR
01
—
DF603
RAILROAD MEDICARE
AR
Enumeration date
10/24/2006
Last updated
07/25/2011
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