Organization
CONWAY REGIONAL MEDICAL CENTER INC
Active
Other names
Conway Regional Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
525 WESTERN AVE STE 203, CONWAY, AR 72034-4980
(501) 327-4828
(501) 327-6899
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 327-4828
(501) 327-6899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
11/09/2023
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