| 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 |