# NORTHWEST ARKANSAS INTEGRATED MEDICAL, INC

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

## Provider details

- **NPI number:** 1801439302
- **Authorized official:** JEFFREY SMITH (OWNER)
- **Authorized official phone:** (479) 531-5533

## Contact information

- **Practice address:** 1300 SE 14TH ST STE 2, BENTONVILLE, AR 72712-6814
- **Practice address phone:** (479) 271-6992
- **Mailing address:** 1300 SE 14TH ST STE 2, BENTONVILLE, AR 72712-6814

## Taxonomy

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

## Other

- **Enumeration date:** 10/28/2019
- **Last updated:** 10/28/2019