# GLOMAR MEDICAL NWA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063286177
- **Authorized official:** JAN CHESNEY (BILLING MANAGER)
- **Authorized official phone:** (317) 796-9785

## Contact information

- **Practice address:** 4305 S PLEASANT CROSSING BLVD STE 103, ROGERS, AR 72758-1347
- **Practice address phone:** (800) 511-2747
- **Practice address fax:** (501) 255-9109
- **Mailing address:** 4305 S PLEASANT CROSSING BLVD STE 103, ROGERS, AR 72758-1347
- **Mailing address phone:** (800) 511-2747
- **Mailing address fax:** (501) 255-9109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2023
- **Last updated:** 11/09/2023