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Organization
NICOLE M. SCALLY MD PA
Active
Organization
NICOLE M. SCALLY MD PA
Active
Other names
Northwest Arkansas Family Medicine and Obstetrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE SCALLY MD (CHAIRMAN/PRESIDENT/SECRETARY)
(479) 282-2737
Entity
Organization
Contact information
Practice address
2000 S PROMENADE BLVD, SUITE 202, ROGERS, AR 72758-9073
(479) 282-2737
(479) 316-4072
Mailing address
2000 S PROMENADE BLVD, SUITE 202, ROGERS, AR 72758-9073
(479) 282-2737
(479) 316-4072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MC-3081
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176772001
—
AR
05
—
211449002
—
AR
Enumeration date
02/09/2015
Last updated
03/11/2016
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