# NORTHWEST ARKANSAS OB/GYN ASSOC.,PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Creekside Center for Women & Laser Aesthetics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053344234
- **Authorized official:** KENT A MASON M.D. (PARTNER)
- **Authorized official phone:** (479) 582-9268

## Contact information

- **Practice address:** 5330 WILLOW CREEK DR, SPRINGDALE, AR 72762-8702
- **Practice address phone:** (479) 582-9268
- **Practice address fax:** (479) 973-9229
- **Mailing address:** 5330 WILLOW CREEK DR, SPRINGDALE, AR 72762-8702
- **Mailing address phone:** (479) 582-9268
- **Mailing address fax:** (479) 973-9229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MC1823 | AR | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 11/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 134004002 | — | AR |