Organization
NORTHWEST ARKANSAS OB/GYN ASSOC.,PLC
Active
Other names
Creekside Center for Women & Laser Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
KENT A MASON M.D. (PARTNER)
(479) 582-9268
Entity
Organization
Contact information
Practice address
5330 WILLOW CREEK DR, SPRINGDALE, AR 72762-8702
(479) 582-9268
(479) 973-9229
Mailing address
5330 WILLOW CREEK DR, SPRINGDALE, AR 72762-8702
(479) 582-9268
(479) 973-9229
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MC1823
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134004002
—
AR
Enumeration date
07/09/2006
Last updated
11/08/2011
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