| NPI | 1245729359 |
|---|---|
| Doing Business As | CONWAY REGIONAL MEDICAL CLINIC-RUSSELLVILLE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PACK CFO 501-450-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-11-09 |