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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
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