Organization
NWA ADVANCED MEDICINE P.A.
Active
Other names
Advanced Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY ROUTSONG D.O. (PRES)
(479) 571-2273
Entity
Organization
Contact information
Practice address
2035 N COLLEGE AVE, SUITE 1, FAYETTEVILLE, AR 72703-2613
(479) 571-2273
Mailing address
PO BOX 698, FAYETTEVILLE, AR 72702-0698
(479) 571-2273
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
E4245
AR
207T00000X
Neurological Surgery Physician
E4245
AR
208D00000X
General Practice Physician
Primary
E4245
AR
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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