Central Arkansas Ear Nose & Throat Clinic in Conway - Otolaryngology

Central Arkansas Ear Nose & Throat Clinic - NPI 1093772436

Central Arkansas Ear Nose & Throat Clinic is a Otolaryngology in Conway, Arkansas. Central Arkansas Ear Nose & Throat Clinic practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Central Arkansas Ear Nose & Throat Clinic is 1093772436. The last update date is 2007-07-10.

Central Arkansas Ear Nose & Throat Clinic's current location address is 2200 Ada Ave, Conway, Arkansas. You can contact this provider via phone number 5013273929 and fax number 5013293816. The mailing address for Central Arkansas Ear Nose & Throat Clinic is 2200 Ada Ave, Conway, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Central Arkansas Ear Nose & Throat Clinic
Address 2200 Ada Ave, Conway, Arkansas
Phone Number 5013273929
Fax Number 5013293816
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PRES
Authorized Official Name Shaw Blevins Collie
Credentials MD
Telephone Number 5013273929

NPI Number Detail

NPI Number 1093772436
Provider Enumeration Date 2006-04-28
Last Updated Date 2007-07-10

Provider Mailing Address Detail

Address 2200 Ada Ave
City Conway
State Arkansas (AR)
Post Code 72034
Phone Number 5013273929
Fax Number 5013293816

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No C7970
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
128835002 AR --

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FAQs about Central Arkansas Ear Nose & Throat Clinic

What is the unique identifier code issued to Central Arkansas Ear Nose & Throat Clinic by the Centers for Medicare & Medicaid Services (CMS)?

The Central Arkansas Ear Nose & Throat Clinic has been assigned the NPI (National Provider Identifier) 1093772436. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Central Arkansas Ear Nose & Throat Clinic's physical address?

The Central Arkansas Ear Nose & Throat Clinic is physically located at 2200 Ada Ave, in the city of Conway, AR, with the postal code 72034.

What is the Central Arkansas Ear Nose & Throat Clinic's area of specialization and corresponding taxonomy classification?

The Central Arkansas Ear Nose & Throat Clinic's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.

When did the Central Arkansas Ear Nose & Throat Clinic receive its 1093772436?

The Central Arkansas Ear Nose & Throat Clinic was issued its 1093772436 on 2006-04-28, which is the date when the organization was assigned this unique identifier.

When was the Central Arkansas Ear Nose & Throat Clinic's information last updated?

The Central Arkansas Ear Nose & Throat Clinic's information was last updated on 2007-07-10.

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