Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Conway Regional Medical Center, Inc

Organization Dermatology Physician · NPI 1003478462

Conway Regional Medical Center, Inc is a Dermatology Physician in Conway, Arkansas. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
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

525 Western Ave Ste 305A
Conway, AR 72034-4982
Phone: (501) 358-6145
Fax: (501) 504-6642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X
Dermatology Physician Taxonomy 207N00000X
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X
Rheumatology Physician Taxonomy 207RR0500X

Record details

NPI number1003478462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pack — Cfo · (501) 450-2112
Other names Conway Regional Multispecialty Clinic; Conway Regional Multispecialty Clinic
NPI enumeratedJuly 5, 2019
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing addressPo Box 9662, Conway, AR 72033-9662

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