NPI 1528065976 · live from the CMS NPI Registry
Conway Gastroenterology, PA
Internal Medicine, Gastroenterology in Conway, AR. National Provider Identifier 1528065976, active.
NPI record
| NPI | 1528065976 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 455 Hogan Ln, Conway, AR 72034 |
| Practice phone | 501-513-0799 |
| Mailing address | Po Box 10780, Conway, AR 72034 |
| Enumerated | June 30, 2005 |
| Last updated | August 1, 2012 |
| Authorized official | Kevin Heath, Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | MC-1598 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.