Conway Childrens Clinic PA Corp

NPI #1033170261 in Conway, Arkansas

Provider Information

NPI Number: 1033170261
Entity Type: Organization
Organization Name: Conway Childrens Clinic PA Corp
Primary Specialty: Pediatrics
Enumeration Date: Mar 29, 2006
Last Updated: Feb 7, 2011

Practice Location

Address: 2505 COLLEGE AVE
City: Conway
State: Arkansas
ZIP Code: 72034
Phone: (501) 327-6000

Authorized Official

Name: MR. MICHAEL A CONNAUGHTON, MD
Title: PRESIDENT
Phone: (501) 327-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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