# NWA ADVANCED MEDICINE P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902147689
- **Authorized official:** RODNEY ROUTSONG D.O. (PRES)
- **Authorized official phone:** (479) 571-2273

## Contact information

- **Practice address:** 2035 N COLLEGE AVE, SUITE 1, FAYETTEVILLE, AR 72703-2613
- **Practice address phone:** (479) 571-2273
- **Mailing address:** PO BOX 698, FAYETTEVILLE, AR 72702-0698
- **Mailing address phone:** (479) 571-2273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | E4245 | AR | — |
| 207T00000X | Neurological Surgery Physician | E4245 | AR | — |
| 208D00000X | General Practice Physician | E4245 | AR | Yes |

## Other

- **Enumeration date:** 03/06/2013
- **Last updated:** 03/06/2013