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Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
Other names
MANA UCW
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURT (CFO)
(479) 571-6780
Entity
Organization
Contact information
Practice address
1188 N SALEM RD STE 6, FAYETTEVILLE, AR 72704-8803
(479) 442-0006
(479) 442-3038
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56750
AR BC/BS
AR
01
—
5F394
AR BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/12/2006
Last updated
12/15/2025
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