Organization · Type 2 NPI

Conway Regional Medical Center, Inc.

Neurology Physician · Conway, AR

NPI number 1255879656 Active

Practice location

2200 Ada Ave Ste 302
Conway, AR 72034-4985

Call (501) 932-0352 Map

Fax (501) 932-0354

Mailing address

PO Box 9662
Conway, AR 72033-9662

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

5 other providers at this address

Other neurology physician providers in Conway

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NPI record

NPI: 1255879656
Entity type: Organization (Type 2)
Issued: Feb 6, 2017
Last updated: Nov 9, 2023
Status: Active

Other names

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Conway Regional Neuroscience Center · doing business as
Conway Regional Neuroscience Center · doing business as

Authorized official

William Pack
CFO
(501) 450-2112

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255879656

Conway Regional Medical Center, Inc.'s National Provider Identifier is 1255879656, issued on Feb 6, 2017. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Conway, AR. The record was last updated on Nov 9, 2023.