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DEFY AGE MED SPA, PLLC
NPI 1407515141
Anesthesiology - Pain Medicine in Conway, AR

Active since December 09, 2021
2501 DAVE WARD DR STE A17, CONWAY, AR 72034(501) 499-9252 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Defy Age Med Spa, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEFY AGE MED SPA, PLLC (NPI 1407515141) is a healthcare organization registered as a pain medicine in Conway, Arkansas and active in the NPI registry since December 2021. The organization lists Heather Whaley, Owner, as its authorized official.

NPPES Registry Identity

NPI1407515141
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameDEFY AGE MED SPA, PLLC
Location Address2501 DAVE WARD DR STE A17Conway, AR 72034-6090
Mailing Address2501 Dave Ward Dr Ste A17Conway, AR 72034-6090 · (501) 499-9252
Phone(501) 499-9252
Organization SubpartNo
Authorized OfficialHeather WhaleyOwner · (501) 554-6005
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1407515141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2501 DAVE WARD DR STE A17, Conway, AR 72034
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Defy Age Med Spa, PLLC's NPI number?

The NPI number for Defy Age Med Spa, PLLC is 1407515141. It was assigned to this organization in the NPPES registry on December 9, 2021.

Where is Defy Age Med Spa, PLLC located?

Defy Age Med Spa, PLLC is located at 2501 Dave Ward Dr Ste A17, Conway, AR 72034. The listed phone number is (501) 499-9252.

What is Defy Age Med Spa, PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Defy Age Med Spa, PLLC was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.