NPI 1245729359

Conway Regional Medical Center, INC

Organisation Family Medicine Physician Russellville, AR

Practice location

Address: 108 Skyline Dr, Russellville, AR 72801-3362
Phone: (479) 968-7170
Fax: (479) 968-7607
Mailing address: PO Box 9662, Conway, AR 72033-9662

Authorised official

Name: William Pack
Title: Cfo
Phone: (501) 450-2112

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Arkansas →

Registry record

NPI: 1245729359
Entity type: Organization
NPI issued: 3 May 2018
Record last updated: 9 Nov 2023

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.