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Organization
CONWAY REGIONAL MEDICAL CENTER INC
Active
Organization
CONWAY REGIONAL MEDICAL CENTER INC
Active
Parent organization
CONWAY REGIONAL MEDICAL CENTER INC
Other names
Conway Regional Maternal-Fetal Medicine Center of Arkansas
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONWAY REGIONAL MEDICAL CENTER INC
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
2200 ADA AVE STE 200, CONWAY, AR 72034-4984
(501) 513-5424
(501) 513-5428
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
11/09/2023
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