Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Other names
Norhtwest Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
B J ROBERTS (CHIEF FINANCIAL OFFICER)
(479) 521-8269
Entity
Organization
Contact information
Practice address
601 W MAPLE AVE, SUITE 102, SPRINGDALE, AR 72764-5335
(479) 750-6585
(479) 750-6594
Mailing address
601 W MAPLE AVE, SUITE 102, SPRINGDALE, AR 72764-5335
(479) 750-6585
(479) 750-6594
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135072762
—
AR
Enumeration date
05/27/2008
Last updated
05/27/2008
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