Organization Name: | CONWAY EMERGENCY PHYSICIANS, P.A. |
NPI Number: | 1861725871 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE WEAR (OFFICE MANAGER) |
Mailing Address: | 2200 Ada Ave Conway |
State: | AR US |
Postal Code: | 720344985 |
Phone Number: | 5015135444 |
Fax Number: | 5014502216 |
NPI Enumeration Date: | 09/09/2009 |
NPI Last Update Date: | 09/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |