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NPI Code Detail

MEDICARE: ARKANSAS PAIN AND WELLNESS, LLC

MEDICARE: ARKANSAS PAIN AND WELLNESS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) PhysicianE6975AR

General Provider Information

NPI Number : 1336417336
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARKANSAS PAIN AND WELLNESS, LLC
Provider Business Mailing Address
First Line : 4600 TOWSON AVE
Second Line : SUITE 101-W2
City : FORT SMITH
State : AR
Zip : 72901-7961
Country : US
Telephone Number : 479-353-2904
Fax Number : 479-763-3168
Provider Business Practice Location Address
First Line : 4600 TOWSON AVE
Second Line : SUITE 101-W2
City : FORT SMITH
State : AR
Zip : 72901-7961
Country : US
Telephone Number : 479-353-2904
Fax Number : 479-763-3168
Authorized Official
Title or Position : ANESTHESIOLOGIST-PAIN MEDICINE
Name : DR. ADAM LEE SEWELL
Credential : M.D.
Telephone Number : 479-353-2904
Provider Enumeration Date : 12/05/2011
Last Update Date : 06/20/2016

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Directions to “ARKANSAS PAIN AND WELLNESS, LLC ” Practice Location

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