# CONWAY EMERGENCY PHYSICIANS, P.A.

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

## Provider details

- **NPI number:** 1861725871
- **Authorized official:** MRS. CONNIE WEAR (OFFICE MANAGER)
- **Authorized official phone:** (501) 513-5793

## Contact information

- **Practice address:** 2200 ADA AVE, CONWAY, AR 72034-4985
- **Practice address phone:** (501) 513-5444
- **Practice address fax:** (501) 450-2216
- **Mailing address:** PO BOX 757, CONWAY, AR 72033-0757
- **Mailing address phone:** (501) 513-5793
- **Mailing address fax:** (501) 513-5870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2009
- **Last updated:** 09/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 177833002 | — | AR |
| 01 | — | C5964 | BLUE CROSS BLUE SHIELD | AR |