Organization
NORTHWEST ARKANSAS ALLERGY AND ASTHMA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER THOMAS (CLINIC MANAGER)
(479) 464-7770
Entity
Organization
Contact information
Practice address
2109 S 54TH ST STE 2, ROGERS, AR 72758-8195
(479) 464-7770
(479) 464-7772
Mailing address
2109 S 54TH ST STE 2, ROGERS, AR 72758-8195
(479) 464-7770
(479) 464-7772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55652
BCBS
AR
01
—
56891
BCBS
AR
Enumeration date
06/26/2006
Last updated
08/22/2020
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