Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Defy Age Med Spa, PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1407515141

Defy Age Med Spa, PLLC is a Pain Medicine (Anesthesiology) Physician in Conway, Arkansas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2501 Dave Ward Dr Ste A17
Conway, AR 72034-6090
Phone: (501) 499-9252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1407515141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Whaley — Owner · (501) 554-6005
NPI enumeratedDecember 9, 2021
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address2501 Dave Ward Dr Ste A17, Conway, AR 72034-6090

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