# CONWAY EMERGENCY PHYSICIANS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wound Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427202639
- **Authorized official:** PHILLIP STONE M.D. (PRESIDENT)
- **Authorized official phone:** (501) 513-5793

## Contact information

- **Practice address:** 2200 ADA AVE, CONWAY, AR 72034-4985
- **Practice address phone:** (501) 513-5444
- **Mailing address:** PO BOX 727, CONWAY, AR 72033-0727
- **Mailing address phone:** (501) 513-5793
- **Mailing address fax:** (501) 513-5870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C5240 | AR | Yes |
| 208D00000X | General Practice Physician | C5964 | AR | — |
| 208D00000X | General Practice Physician | E0837 | AR | — |
| 208D00000X | General Practice Physician | E3733 | AR | — |

## Other

- **Enumeration date:** 11/14/2008
- **Last updated:** 11/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10035643 | MEDICARE RAILROAD | AR |
| 05 | — | 103074001 | — | AR |
| 05 | — | 111533001 | — | AR |
| 05 | — | 130948001 | — | AR |
| 05 | — | 150518001 | — | AR |
| 01 | — | 3920046 | UNITED HEALTH CARE | — |
| 01 | — | 930055480 | MEDICARE RAILROAD | AR |
| 01 | — | 930104614 | MEICARE RAILROAD | — |
| 01 | — | P00089411-CP87 | MEDICARE RAILROAD | AR |