PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT, LLC is a pain clinic center in Conway, AR. PRESTIGE SPINE INTERVENTIONAL PAIN MANAGEMENT, LLC NPI is 1265044119. The provider is registered as an organization entity type.
The provider's business location address is:
650 UNITED DR STE 340
CONWAY, AR
ZIP 72032-826
Phone: (501) 358-6791
The provider's authorized official is April Johnson .
The authorized official title is Member and has the following contact phone number (501) 993-8300.
The CLIA number assigned to this NPI record is 04D2204445 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/21/2020 and was last updated on 12/16/2020.