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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
3383 N MANA CT, SUITE 101, FAYETTEVILLE, AR 72703-4960
(479) 443-3471
(479) 442-7150
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 973-9966

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
05/02/2013
Last updated
01/17/2024
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