NPI 1235300765

Northeast Arkansas Pain Medicine

Organisation Interventional Pain Medicine Physician Jonesboro, AR

Practice location

Address: 505 E Matthews Ave Suite 103, Jonesboro, AR 72401-3144
Phone: (870) 972-0411
Fax: (870) 933-8011

Authorised official

Name: Monica R Formon
Title: Office Manager
Phone: (870) 972-0411

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence E1479 (AR)

Other Pain Medicine providers in Arkansas →

Registry record

NPI: 1235300765
Entity type: Organization
NPI issued: 12 Mar 2008
Record last updated: 15 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.