Conover Clinics, Inc.

Organization Active NPI Family Medicine Physician · Centerton, AR

NPI 1992847818 · NPPES record last updated Aug 21, 2009

Key facts

NPI
1992847818
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
E2837 (AR)
Legal business name
CONOVER CLINICS, INC.
Practice address
101 Sun Meadow Dr
Centerton, AR 72719-9610
Phone
(479) 795-0426
Fax
(479) 795-0427
NPI assigned
Feb 14, 2007
Organization subpart
No

Authorized official

Name
Randy Duane Conover, D.O.
Title
Owner
Phone
(479) 795-0426

National Provider Directory

Locations

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X E2837 AR Yes

Addresses

Primary practice location

101 Sun Meadow Dr
Centerton, AR 72719-9610

Mailing address

PO Box 34
Centerton, AR 72719-0034
Phone (479) 795-0426

Other identifiers

IdentifierTypeStateIssuer
143769003MedicaidAR

Other providers in Centerton, AR

All providers in Centerton, AR · Family Medicine Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.