Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
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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