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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