NPI 1265044119

Prestige Spine Interventional Pain Management, LLC

Organisation Interventional Pain Medicine Physician Conway, AR

Practice location

Address: 650 United Dr STE 340, Conway, AR 72032-7826
Phone: (501) 358-6791

Authorised official

Name: April Johnson
Title: Member
Phone: (501) 993-8300

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Arkansas →

Pain Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP3300X

Other Clinic/Center providers in Arkansas →

Registry record

NPI: 1265044119
Entity type: Organization
NPI issued: 21 Aug 2020
Record last updated: 23 Aug 2022

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.