Organization
CONWAY REGIONAL MEDICAL CENTER, INC.
Active
Organization
CONWAY REGIONAL MEDICAL CENTER, INC.
Active
Other names
Conway Regional Infectious Disease 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 301, CONWAY, AR 72034-4981
(501) 513-5295
(501) 513-5296
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
AR
Other
Enumeration date
09/04/2018
Last updated
11/09/2023
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