Organization
CONWAY REGIONAL MEDICAL CENTER INC.
Active
Other names
Conway Orthopedic and Sports Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
550 CLUB LN STE 1, CONWAY, AR 72034-3681
(501) 329-1510
(501) 329-5697
Mailing address
550 CLUB LN STE 1, CONWAY, AR 72034-3681
(501) 329-1510
(501) 329-5697
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/19/2018
Last updated
11/09/2023
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