Organization · Type 2 NPI
Corporate Md, PLLC
Occupational Medicine Clinic/Center · Conway, AR
NPI number
1265440465
Active
Practice location
505 Industrial Blvd, Suite 3
Conway, AR 72032-7825
Fax (501) 328-5886
Mailing address
505 Dave Ward Drive, Suite 3
Conway, AR 72032-7825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Medicine Clinic/Center Primary | 261QX0100X | MC-2506 (AR) |
Occupational Medicine Clinic/Center: Definition to come...
About NPI 1265440465
Corporate Md, PLLC's National Provider Identifier is 1265440465, issued on Aug 3, 2006. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Conway, AR. The record was last updated on Aug 22, 2020.