NPI | 1265044119 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL JOHNSON Member 501-993-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
Enumeration Date | 2020-08-21 |
Last Update Date | 2022-08-23 |