Organization
CONWAY UROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CRAIG SHIRLEY MD (OWNER)
(501) 327-5850
Entity
Organization
Contact information
Practice address
495 HOGAN LANE, SUITE 2, CONWAY, AR 72034
(501) 327-5850
(501) 327-4910
Mailing address
495 HOGAN LANE, SUITE 2, CONWAY, AR 72034
(501) 327-5850
(501) 327-4910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MC-1601
AR
208800000X
Urology Physician
Primary
N-7212
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113501-001
—
AR
05
—
159254002
—
AR
Enumeration date
07/16/2006
Last updated
11/21/2011
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