# BOWLIN-CUMMINS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Banister-Lieblong Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861455057
- **Authorized official:** LANDER A SMITH MD (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (501) 329-3824

## Contact information

- **Practice address:** 2425 DAVE WARD DR, STE 401, CONWAY, AR 72034
- **Practice address phone:** (501) 329-3824
- **Practice address fax:** (501) 327-2957
- **Mailing address:** 2425 DAVE WARD DR, STE 401, CONWAY, AR 72034
- **Mailing address phone:** (501) 329-3824
- **Mailing address fax:** (501) 327-2957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 01/06/2015