Organization
NORTHWEST ARKANSAS INTEGRATED MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SMITH (OWNER)
(479) 531-5533
Entity
Organization
Contact information
Practice address
1300 SE 14TH ST STE 2, BENTONVILLE, AR 72712-6814
(479) 271-6992
Mailing address
1300 SE 14TH ST STE 2, BENTONVILLE, AR 72712-6814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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