Organization
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Active
Other names
MANA FM Southwest Bentonville
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURT (CFO)
(479) 571-6780
Entity
Organization
Contact information
Practice address
701 SW REGIONAL AIRPORT BLVD, BENTONVILLE, AR 72713-4589
(479) 464-5590
(479) 464-5591
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
Enumeration date
08/26/2021
Last updated
01/17/2024
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