NPI 1487313557

Medgen Neuro

Organisation Physiological Laboratory Conway, AR

Practice location

Address: 824 N Creek Dr, Conway, AR 72032-4711
Phone: (999) 999-9999

Authorised official

Name: Deanne Goss
Title: Managing Member
Phone: (999) 999-9999

Registered specialties (2)

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Arkansas →

Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X

Other Psychiatry & Neurology providers in Arkansas →

Registry record

NPI: 1487313557
Entity type: Organization
NPI issued: 15 Dec 2021
Record last updated: 17 Jan 2022

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.