Pain Center LLC

NPI #1578643607 in Jonesboro, Arkansas

Provider Information

NPI Number
1578643607
Entity Type
Organization
Organization Name
Pain Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Oct 16, 2006
Last Updated
Nov 10, 2010

Practice Location

Address
505 E MATTHEWS AVE
Address 2
SUITE 103
ZIP Code
72401-3144
Phone
(870) 972-0411

Authorized Official

Name
MONICA R FORMON
Title
ADMINISTRATOR
Phone
(870) 972-0411

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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