OrganizationActive
Prestige Spine Interventional Pain Management, LLC
NPI 1265044119 · Interventional Pain Medicine Physician · Conway, AR
Provider details
- NPI number
- 1265044119
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- April Johnson, Member
Mailing address
650 United Dr Ste 340
Conway, AR 72032-7826
Registry dates
- Enumerated
- 2020-08-21
- Last updated
- 2022-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.