OrganizationActive
Conway Regional Medical Center Inc.
NPI 1174092217 · Orthopaedic Surgery Physician · Conway, AR
Provider details
- NPI number
- 1174092217
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Pack, Cfo(501) 450-2112
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
Suppliers
Practice location
550 Club Ln Ste 1
Conway, AR 72034-3681
Phone: (501) 329-1510
Fax: (501) 329-5697
Approximate (ZIP-level) locationGet directions
Mailing address
550 Club Ln Ste 1
Conway, AR 72034-3681
Other names (DBA / former)
- Doing business as
- Conway Orthopedic and Sports Medicine Center
Registry dates
- Enumerated
- 2018-11-19
- Last updated
- 2023-11-09
- Certified
- 2023-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.