Conway Childrens Clinic PA Corp

NPI #1003189606 in Greenbrier, Arkansas

Provider Information

NPI Number
1003189606
Entity Type
Organization
Organization Name
Conway Childrens Clinic PA Corp
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Feb 14, 2012
Last Updated
Feb 14, 2012

Practice Location

Address
10 LOIS LANE
ZIP Code
72058
Phone
(501) 679-6796

Authorized Official

Name
MICHAEL CONNAUGHTON, MD
Title
OWNER/MD
Phone
(501) 327-6000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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