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Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
Other names
MANA FM Southwest Bentonville
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURT (CFO)
(479) 571-6780
Entity
Organization
Contact information
Practice address
701 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72713-4589
(479) 464-5590
(479) 464-5591
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
01/17/2024
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