Organization
CONWAY REGIONAL MEDICAL CENTER, INC
Active
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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