Conway Ob-Gyn Clinic PA

NPI #1235198045 in Conway, Arkansas

Provider Information

NPI Number: 1235198045
Entity Type: Organization
Organization Name: Conway Ob-Gyn Clinic PA
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Mar 21, 2006
Last Updated: Nov 4, 2020

Practice Location

Address: 2180 ADA AVENUE
Address 2: SUITE 300
City: Conway
State: Arkansas
ZIP Code: 72034-6135
Phone: (501) 327-6547

Authorized Official

Name: ROBIN CAROL FAGALA
Title: PRACTICE MANAGER
Phone: (501) 327-6547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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