Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURT (CFO)
(479) 571-6780
Entity
Organization
Contact information
Practice address
4700 S THOMPSON ST STE C103, SPRINGDALE, AR 72764-2558
(479) 571-6363
(479) 684-3971
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
MC-2482
AR
Other
Enumeration date
04/20/2017
Last updated
01/17/2024
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