| Conway Digestive Health Center, Inc. | |
|
2200 Ada Ave Suite 201 Conway AR 72034-4985 | |
| (501) 932-0282 | |
| (501) 932-0284 |
| Full Name | Conway Digestive Health Center, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2200 Ada Ave, Conway, Arkansas |
| Authorized Official Name and Position | Frank Martin Moix (PRINCIPAL) |
| Authorized Official Contact | 5019320282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Digestive Health Center, Inc. 2200 Ada Ave Suite 201 Conway AR 72034-4985 Ph: (501) 932-0282 | Conway Digestive Health Center, Inc. 2200 Ada Ave Suite 201 Conway AR 72034-4985 Ph: (501) 932-0282 |
| NPI Number | 1790886463 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790886463 | NPI | - | NPPES |
| 155226002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | E1456 (Arkansas) | Primary |
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