NPI | 1376025544 |
---|---|
Doing Business As | CONWAY REGIONAL INFECTIOUS DISEASE CLINIC |
Entity Type | Organization |
Authorized Contact | WILLIAM PACK CFO 501-450-2112 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
Enumeration Date | 2018-09-04 |
Last Update Date | 2023-11-09 |