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Organization

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

Active
Other names
MANA FM Har-Ber
Organization subpart
No

Provider details

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

Contact information

Practice address
171 N MAESTRI RD, SUITE 1, SPRINGDALE, AR 72762-9818
(479) 361-1020
(479) 361-9118
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156967002
AR
01
5F276
AR BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/11/2006
Last updated
12/15/2025
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