| 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 |