Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
Other names
Northwest Arkansas Neurological Institute
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURT (CFO)
(479) 571-6780
Entity
Organization
Contact information
Practice address
3336 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 571-4541
(479) 571-4340
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160068002
—
AR
01
—
5F503
AR BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/19/2006
Last updated
04/11/2025
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