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Organization
NORTHWEST PHYSICIANS LLC
Active
Organization
NORTHWEST PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
4077 ELM SPRINGS RD STE 105, SPRINGDALE, AR 72762-3703
(479) 757-5301
(479) 927-2211
Mailing address
7100 COMMERCE WAY, SUITE 170, BRENTWOOD, TN 37027-2829
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134942002
—
AR
01
—
CN7523
RR MEDICARE
AR
Enumeration date
06/13/2006
Last updated
04/15/2025
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