Organization
CONWAY REGIONAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BURNETT RN (DIRECTOR)
(501) 730-0754
Entity
Organization
Contact information
Practice address
2200 ADA AVE, SUITE 100, CONWAY, AR 72034-4985
(501) 730-0754
(501) 730-0718
Mailing address
2200 ADA AVE, SUITE 100, CONWAY, AR 72034-4985
(501) 730-0754
(501) 730-0718
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
041036
AR
Other
Enumeration date
09/22/2005
Last updated
08/22/2020
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