Organization
CONWAY REGIONAL MEDICAL CENTER, INC
Active
Parent organization
CONWAY REGIONAL MEDICAL CENTER,INC
Other names
Cardiovascular and Thoracic Surgery of Conway
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONWAY REGIONAL MEDICAL CENTER,INC
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
525 WESTERN AVE, SUITE 302, CONWAY, AR 72034-4967
(501) 328-5515
(501) 328-5518
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 328-5518
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
07/01/2010
Last updated
11/09/2023
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