COLLEGE PARK FAMILY CLINIC PA

CONWAY, AR
NPI1861478232
Entity TypeOrganization
Authorized ContactGIL E JOHNSON
CEO President
501-327-6041
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: AR  C6340)
Additional Taxonomies207Q00000X Family Medicine
(Licence: AR  C6340)
208000000X Pediatrics
(Licence: AR  C6340)
Enumeration Date2005-12-19
Last Update Date2020-08-22
Business Address
COLLEGE PARK FAMILY CLINIC PA
2511-A COLLEGE AVE
CONWAY, AR 72034
Phone number: 501-327-6041
Mailing Address
COLLEGE PARK FAMILY CLINIC PA
2511-A COLLEGE AVE
CONWAY, AR 72034
Phone number: 501-327-6041