NPI | 1255095139 |
---|---|
Doing Business As | CONWAY REGIONAL ENDOCRINOLOGY AND DIABETES CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM PACK CFO 501-450-2112 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2021-10-26 |
Last Update Date | 2023-11-09 |