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Organization
NWA ADVANCED MEDICINE P.A.
Active
Organization
NWA ADVANCED MEDICINE P.A.
Active
Other names
Advanced Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY ROUTSONG D.O. (PRES)
(479) 571-2273
Entity
Organization
Contact information
Practice address
2035 N COLLEGE AVE, SUITE 1, FAYETTEVILLE, AR 72703-2613
(479) 571-2273
Mailing address
PO BOX 698, FAYETTEVILLE, AR 72702-0698
(479) 571-2273
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
E4245
AR
207T00000X
Neurological Surgery Physician
E4245
AR
208D00000X
General Practice Physician
Primary
E4245
AR
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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