Organization
CONWAY NEUROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID O OBERLANDER MD (OWNER)
(501) 505-0400
Entity
Organization
Contact information
Practice address
400 SALEM RD, BLDG 3 SUITE 1, CONWAY, AR 72034-6162
(501) 505-0400
(501) 505-0402
Mailing address
PO BOX 11078, CONWAY, AR 72034-0019
(501) 860-6130
(501) 860-6054
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134556002
—
AR
01
—
E0479
ELECTRONIC SUBMITTER
AR
Enumeration date
10/26/2006
Last updated
06/17/2008
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