Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
Other names
NWA Pediatrics, MANA NWAP Futrall
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURT (CFO)
(479) 571-6780
Entity
Organization
Contact information
Practice address
3380 N FUTRALL DR STE 1, FAYETTEVILLE, AR 72703-4815
(479) 442-7322
(479) 442-7379
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100726870B
—
OK
05
—
155663002
—
AR
01
—
57547
AR BC/BS
AR
Enumeration date
05/13/2006
Last updated
12/15/2025
Update your record
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