Organization
NORTHWEST PHYSICIANS, LLC
Active
Parent organization
NORTHWEST PHYSICIANS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST PHYSICIANS, LLC
Authorized official
DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
601 W MAPLE AVE, SUITE 505, SPRINGDALE, AR 72764-5335
(479) 757-5354
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7626
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134942002
—
AR
01
—
6091960001
MEDICARE DME
AR
Enumeration date
09/24/2007
Last updated
08/02/2010
Update your record
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