Organization
CONWAY AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH WADDELL RN (ADMINISTATOR)
(501) 766-1065
Entity
Organization
Contact information
Practice address
2425 DAVE WARD DR, CONWAY, AR 72034-8686
(501) 392-9065
Mailing address
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211-2840
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
04/11/2022
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