Organization
CONWAY REGIONAL MEDICAL CENTER, INC
Active
Other names
Conway Regional Multispecialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
525 WESTERN AVE STE 305A, CONWAY, AR 72034-4982
(501) 358-6145
(501) 504-6642
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
07/05/2019
Last updated
01/20/2025
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