SPECIALIZED PHYSICAL MEDICINE AND REHABILITIAN CLINICS PC NPI 1942473079

NPI Information

NPI: 1942473079
Provider Name: SPECIALIZED PHYSICAL MEDICINE AND REHABILITIAN CLINICS PC

Doing Business As: SPR CLINICS

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
501 N MAIN ST
SUIT C
HARRISON, AR
ZIP 72601
Phone: (417) 343-1307
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SPECIALIZED PHYSICAL MEDICINE AND REHABILITIAN CLINICS PC is a pain clinic center in Harrison, AR. SPECIALIZED PHYSICAL MEDICINE AND REHABILITIAN CLINICS PC NPI is 1942473079. The provider is registered as an organization entity type.
The provider Is Doing Business As Spr Clinics.

The provider's business location address is:

501 N MAIN ST
SUIT C
HARRISON, AR
ZIP 72601-535
Phone: (417) 343-1307

The provider's authorized official is Aly Mohamed Mohsen .
The authorized official title is President and has the following contact phone number (417) 886-0310.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 9/13/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain	E-3715	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A10451	MEDICARE UPIN	ARKANSAS

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: 4/28/2024

NPI Synchronization or Removal

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