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

Conway Regional Medical Center, Inc

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1730601451

Conway Regional Medical Center, Inc is a Sports Medicine (Orthopaedic Surgery) Physician 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

525 Western Ave Ste 302
Conway, AR 72034-4981
Phone: (501) 504-6649
Fax: (501) 328-5518
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X (AR)

Record details

NPI number1730601451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pack — Cfo · (501) 450-2112
Other names Conway Regional Center For Orthopedics And Sports Medicine; Conway Regional Center For Orthopedics And Sports Medicine
NPI enumeratedJuly 14, 2017
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing addressPo Box 9662, Conway, AR 72033-9662

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