Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
Other names
Imaging Associates of Northwest Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURT (CFO)
(479) 571-6780
Entity
Organization
Contact information
Practice address
55 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(479) 442-6266
(479) 521-3877
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156717002
—
AR
05
—
200016360A
—
OK
01
—
5C912
AR BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/15/2006
Last updated
01/17/2024
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