NPI 1093772436

Central Arkansas Ear Nose & Throat Clinic

Organisation Otolaryngology Physician Conway, AR

Practice location

Address: 2200 Ada Ave STE 202, Conway, AR 72034
Phone: (501) 327-3929
Fax: (501) 329-3816

Authorised official

Name: Collie Blevins Shaw
Title: Owner President
Phone: (501) 327-3929

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence C7970 (AR)

Other Otolaryngology providers in Arkansas →

Registry record

NPI: 1093772436
Entity type: Organization
NPI issued: 28 Apr 2006
Record last updated: 10 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.