Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Conway Regional Medical Center, Inc

Organization Gastroenterology Physician · NPI 1376054155

Conway Regional Medical Center, Inc provides Gastroenterology Physician services in Conway, Arkansas. Licensed in Arkansas. Registered with an NPI since 2017.

Licensed in
AR
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2200 Ada Ave Ste 201
Conway, AR 72034-4984
Phone: (501) 852-1360
Fax: (501) 552-5316
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X (AR)

Record details

NPI number1376054155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pack — Cfo · (501) 450-2112
Other names Conway Regional Gastroenterology Center
NPI enumeratedOctober 19, 2017
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing address2200 Ada Ave Ste 201, Conway, AR 72034-4984

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