Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
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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