| NPI | 1174092217 |
|---|---|
| Doing Business As | CONWAY ORTHOPEDIC AND SPORTS MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PACK CFO 501-450-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2023-11-09 |