# NWA SPORTS MEDICINE INSTITUTE, PLLC

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

## Provider details

- **NPI number:** 1427839141
- **Authorized official:** BRANDON LEE MORRIS MD (OWNER)
- **Authorized official phone:** (970) 420-5855

## Contact information

- **Practice address:** 1504 SE 28TH ST, BENTONVILLE, AR 72712-3988
- **Practice address phone:** (479) 273-1111
- **Practice address fax:** (479) 273-1255
- **Mailing address:** 1504 SE 28TH ST, BENTONVILLE, AR 72712-3988
- **Mailing address phone:** (479) 273-1111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2023
- **Last updated:** 12/12/2023