Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA
Active
Other names
MANA FM Springdale
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURT (CFO)
(479) 571-6780
Entity
Organization
Contact information
Practice address
1109 S WEST END ST, SPRINGDALE, AR 72764-5228
(479) 750-3630
(479) 751-3308
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 750-3630
(479) 751-3308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155660002
—
AR
01
—
56658
AR BLUE CROSS/BLUE SHIELD
AR
01
—
56750
AR BC/BS
AR
Enumeration date
05/11/2006
Last updated
12/15/2025
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