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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