CONWAY EMERGENCY PHYSICIANS, P.A.
Hospitals at College Ave, Conway, AR

License number
Arkansas 2657
Category
Hospitals
Type
General Acute Care Hospital
Owner
Name: CONNIE WEAR
Title: OFFICE MANAGER
Phone: (501) 513-5793
Address
Address
2302 College Ave, Conway, AR 72034
National Provider ID: 1417024662
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CONWAY EMERGENCY PHYSICIANS, PA

1404 Stanely Russ Rd, Conway, AR 72032

Doing business as:
CONWAY EMERGENCY PHYSICIANS WOUND CARE CLINIC PHYSICIANS
Registration:
Dec 31, 1985
State ID:
100013094
Business type:
For Profit Corporation
Vice-Presidents:
Jack E. Engelkes (Tax Preparer),Phillip Stone (President),Stephen Hudson (Vice-President)
Agent:
Phillip S. Stone (I),1404 Stanely Russ Rd, Conway, AR 72032 (Physical)
Filled under act:
Dom Medical Corp; 179 of 1961

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