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Organization

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

Active
Other names
N/A Ozark Urology
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY HURT (CFO)
(479) 571-6780
Entity
Organization

Contact information

Practice address
3336 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 444-8827
(479) 444-7310
Mailing address
PO BOX 3886, FAYETTEVILLE, AR 72702-3886
(479) 444-8827
(479) 444-7310

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100726870C
OK
05
161879002
AR
01
5F590
AR BC/BS
AR
Enumeration date
07/10/2006
Last updated
04/11/2025
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