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Organization

NICOLE M. SCALLY MD PA

Active
Other names
Northwest Arkansas Family Medicine and Obstetrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLE SCALLY MD (CHAIRMAN/PRESIDENT/SECRETARY)
(479) 282-2737
Entity
Organization

Contact information

Practice address
2000 S PROMENADE BLVD, SUITE 202, ROGERS, AR 72758-9073
(479) 282-2737
(479) 316-4072
Mailing address
2000 S PROMENADE BLVD, SUITE 202, ROGERS, AR 72758-9073
(479) 282-2737
(479) 316-4072

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MC-3081
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
176772001
AR
05
211449002
AR
Enumeration date
02/09/2015
Last updated
03/11/2016
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