Organization
MANA ANESTHESIA SERVICES LLC
Active
Parent organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Authorized official
JASON WILSON (CEO)
(479) 571-6780
Entity
Organization
Contact information
Practice address
3344 N FUTRALL DR STE 3, FAYETTEVILLE, AR 72703-4057
(479) 521-8200
(479) 582-7310
Mailing address
PO BOX 292012, NASHVILLE, TN 37229-2012
(615) 620-2320
(615) 250-4212
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
10/08/2019
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