Organization
CONWAY EMERGENCY PHYSICIANS, P.A.
Active
Other names
Conway Emergency Physicians Wound Care Clinic Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE WEAR (OFFICE MANAGER)
(501) 513-5793
Entity
Organization
Contact information
Practice address
2200 ADA AVE, CONWAY, AR 72034-4985
(501) 513-5444
(501) 450-2216
Mailing address
PO BOX 757, CONWAY, AR 72033-0757
(501) 513-5793
(501) 513-5870
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177833002
—
AR
01
—
C5964
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/09/2009
Last updated
09/09/2009
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