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INTERVENTIONAL PAIN SPECIALISTS OF NWA PLLC NPI 1295032407


NPI Information

NPI: 1295032407
Provider Name: INTERVENTIONAL PAIN SPECIALISTS OF NWA, PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 04D2072874

Address:
509 E MILLSAP RD STE 109
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 595-8192
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INTERVENTIONAL PAIN SPECIALISTS OF NWA, PLLC is an interventional pain medicine pain medicine in Fayetteville, AR. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. INTERVENTIONAL PAIN SPECIALISTS OF NWA, PLLC NPI is 1295032407. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

509 E MILLSAP RD STE 109
FAYETTEVILLE, AR
ZIP 72703-862
Phone: (479) 595-8192
Fax: (479) 442-1748

The provider's authorized official is Loddie Conway .
The authorized official title is Receptionist and has the following contact phone number (479) 595-8192.

The CLIA number assigned to this NPI record is 04D2072874 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2011 and was last updated on 2/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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