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Organization

CONWAY EMERGENCY PHYSICIANS, P.A.

Active
Other names
Wound Care Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
PHILLIP STONE M.D. (PRESIDENT)
(501) 513-5793
Entity
Organization

Contact information

Practice address
2200 ADA AVE, CONWAY, AR 72034-4985
(501) 513-5444
Mailing address
PO BOX 727, CONWAY, AR 72033-0727
(501) 513-5793
(501) 513-5870

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C5240
AR
208D00000X
General Practice Physician
C5964
AR
208D00000X
General Practice Physician
E0837
AR
208D00000X
General Practice Physician
E3733
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10035643
MEDICARE RAILROAD
AR
05
103074001
AR
05
111533001
AR
05
130948001
AR
05
150518001
AR
01
3920046
UNITED HEALTH CARE
01
930055480
MEDICARE RAILROAD
AR
01
930104614
MEICARE RAILROAD
01
P00089411-CP87
MEDICARE RAILROAD
AR
Enumeration date
11/14/2008
Last updated
11/20/2008
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