NPI | 1003478462 |
---|---|
Doing Business As | CONWAY REGIONAL MULTISPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | WILLIAM PACK CFO 501-450-2112 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 207N00000X Dermatology |
207RH0000X Internal Medicine, Hematology | |
207RR0500X Internal Medicine, Rheumatology | |
Enumeration Date | 2019-07-05 |
Last Update Date | 2025-01-20 |