Conway Gastroenterology, Pa | |
455 Hogan Ln Conway AR 72034-8201 | |
(501) 513-0799 | |
(501) 513-0798 |
Full Name | Conway Gastroenterology, Pa |
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Speciality | Internal Medicine - Gastroenterology |
Location | 455 Hogan Ln, Conway, Arkansas |
Authorized Official Name and Position | Kevin D Heath (PHYSICIAN) |
Authorized Official Contact | 5015130799 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Conway Gastroenterology, Pa Po Box 10780 Conway AR 72034-0013 Ph: (501) 513-0799 | Conway Gastroenterology, Pa 455 Hogan Ln Conway AR 72034-8201 Ph: (501) 513-0799 |
NPI Number | 1528065976 |
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Provider Enumeration Date | 06/30/2005 |
Last Update Date | 08/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528065976 | NPI | - | NPPES |
128136002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | MC-1598 (Arkansas) | Primary |
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