OrganizationActive
Conway Regional Medical Center, Inc
NPI 1003478462 · Pulmonary Disease Physician · Conway, AR
Provider details
- NPI number
- 1003478462
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Pack, Cfo(501) 450-2112
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Hematology (Internal Medicine) Physician207RH0000X
Allopathic & Osteopathic Physicians
- Rheumatology Physician207RR0500X
Allopathic & Osteopathic Physicians
Practice location
525 Western Ave Ste 305a
Conway, AR 72034-4982
Phone: (501) 358-6145
Fax: (501) 504-6642
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9662
Conway, AR 72033-9662
Other names (DBA / former)
- Doing business as
- Conway Regional Multispecialty Clinic
- Doing business as
- Conway Regional Multispecialty Clinic
Registry dates
- Enumerated
- 2019-07-05
- Last updated
- 2025-01-20
- Certified
- 2025-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.