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MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA NPI 1164140729


NPI Information

NPI: 1164140729
Provider Name: MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

Other Name: MANA FOOT & ANKLE CLINIC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3344 N FUTRALL DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 435-2400
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MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA is a podiatrist in Fayetteville, AR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA NPI is 1164140729. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mana Foot & Ankle Clinic.

The provider's business location address is:

3344 N FUTRALL DR
FAYETTEVILLE, AR
ZIP 72703-057
Phone: (479) 435-2400
Fax: (479) 582-7329

The provider's authorized official is Terry Hurt .
The authorized official title is Cfo and has the following contact phone number (479) 571-6780.

The enumeration date for this NPI number is 8/19/2022 and was last updated on 1/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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