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Organization
CONWAY REGIONAL MEDICAL CENTER INC.
Active
Organization
CONWAY REGIONAL MEDICAL CENTER INC.
Active
Other names
Conway Orthopedic and Sports Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
550 CLUB LN STE 1, CONWAY, AR 72034-3681
(501) 329-1510
(501) 329-5697
Mailing address
550 CLUB LN STE 1, CONWAY, AR 72034-3681
(501) 329-1510
(501) 329-5697
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
11/19/2018
Last updated
11/09/2023
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