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Organization
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
Active
Organization
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY J STOVER (VICE PRESIDENT-FINANCE)
(479) 338-2230
Entity
Organization
Contact information
Practice address
701 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72716-0001
(479) 268-7640
(479) 254-2951
Mailing address
701 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72716-0001
(479) 268-7640
(479) 254-2951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
AR
Other
Enumeration date
06/23/2013
Last updated
04/03/2018
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