Conway Emergency Physicians Wound Care Clinic Physicians | |
2200 Ada Ave Conway AR 72034-4985 | |
(501) 513-5444 | |
(501) 450-2216 |
Full Name | Conway Emergency Physicians Wound Care Clinic Physicians |
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Speciality | General Practice |
Location | 2200 Ada Ave, Conway, Arkansas |
Authorized Official Name and Position | Connie Wear (OFFICE MANAGER) |
Authorized Official Contact | 5015135793 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Conway Emergency Physicians Wound Care Clinic Physicians Po Box 757 Conway AR 72033-0757 Ph: (501) 513-5793 | Conway Emergency Physicians Wound Care Clinic Physicians 2200 Ada Ave Conway AR 72034-4985 Ph: (501) 513-5444 |
NPI Number | 1861725871 |
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Provider Enumeration Date | 09/09/2009 |
Last Update Date | 09/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861725871 | NPI | - | NPPES |
C5964 | Other | AR | BLUE CROSS BLUE SHIELD |
177833002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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