Organization
CONWAY CHIROPRACTIC PC
Active
Other names
Conway Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALCOLM L. CONWAY D.C. (PRESIDENT)
(570) 287-7070
Entity
Organization
Contact information
Practice address
1150 WYOMING AVE, SUITE 500, WYOMING, PA 18644-1366
(570) 287-7070
(570) 287-5575
Mailing address
1150 WYOMING AVE, SUITE 500, WYOMING, PA 18644-1366
(570) 287-7070
(570) 287-5575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002774L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215043617
INDIVIDUAL NPI NUMBER
PA
Enumeration date
02/23/2007
Last updated
07/17/2007
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