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MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA

Physicians Psychiatry & Neurology Neurology

Provider NPI: 1801847827

Organization Information:
Organization Name:  MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA
Organization is not Subpart
Authorized Official:  JOHN  JORDIN  CIO  479-571-6780

Practice Location:
3344 N FUTRALL DR  FAYETTEVILLE, AR 72703-4057 US
Tel: 479-521-8200  Fax: 479-582-7310

Business Mailing Address:
PO BOX 1523  FAYETTEVILLE, AR 72702-1523 US
Tel: 479-521-8200  Fax: 479-582-7310

NPI Information:
NPI: 1801847827
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2084N0400XPhysicians
Psychiatry & Neurology
Neurology
N2084P0800XPhysicians
Psychiatry & Neurology
N2085R0202XPhysicians
Radiology
N207RG0100XPhysicians
Internal Medicine
N207RP1001XPhysicians
Internal Medicine
N207RR0500XPhysicians
Internal Medicine
N207RS0012XPhysicians
Internal Medicine
N207Q00000XPhysicians
Family Medicine
N207VG0400XPhysicians
Obstetrics & Gynecology
Y207R00000XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType
AR BC/BS56750AR01
100726870AOK05
155870002AR05



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



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