| NPI | 1376054155 |
|---|---|
| Doing Business As | CONWAY REGIONAL GASTROENTEROLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PACK CFO 501-450-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-11-09 |