Organization · Type 2 NPI

Conway Regional Medical Center Inc

Obstetrics & Gynecology Physician · Conway, AR

NPI number 1255958708 Active

Practice location

2300 Robinson Ave
Conway, AR 72034-4945

Fax (501) 548-6105

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

8 other providers at this address

Other obstetrics & gynecology physician providers in Conway

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NPI record

NPI: 1255958708
Entity type: Organization (Type 2)
Issued: Jul 1, 2020
Last updated: Nov 9, 2023
Status: Active

Other names

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Conway Regional Renaissance Women's Center · doing business as
Conway Regional Renaissance Women's 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 1255958708

Conway Regional Medical Center Inc's National Provider Identifier is 1255958708, issued on Jul 1, 2020. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Conway, AR. The record was last updated on Nov 9, 2023.