Providence Family Medicine Clinic Inc
Providence Family Medicine Clinic Inc provides Family Medicine Physician services in Conway, Arkansas. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3900 Dave Ward DrConway, AR 72034-5583
Phone: (501) 499-1086
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1932690617 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mohammad Idris — President · (501) 499-1086 |
| NPI enumerated | May 29, 2018 |
| Last updated in NPPES | May 29, 2018 |
| Mailing address | 8 Oak Tree Cir, Conway, AR 72032-2112 |
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Dr. Cody Stark Rogers, MD
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