Central Arkansas Ear Nose & Throat Clinic

NPI #1093772436 in Conway, Arkansas

Provider Information

NPI Number
1093772436
Entity Type
Organization
Organization Name
Central Arkansas Ear Nose & Throat Clinic
Primary Specialty
Otolaryngology
Enumeration Date
Apr 28, 2006
Last Updated
Jul 10, 2007

Practice Location

Address
2200 ADA AVE
Address 2
STE 202
City
Conway
ZIP Code
72034
Phone
(501) 327-3929

Authorized Official

Name
DR. COLLIE BLEVINS SHAW, MD
Title
OWNER PRESIDENT
Phone
(501) 327-3929

Specialties & Taxonomy Codes

Specialty
Otolaryngology

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