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MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS NPI 1487604773


NPI Information

NPI: 1487604773
Provider Name: MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS

Doing Business As: CONSULTANTS IN NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
3336 N FUTRALL DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 571-4541
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MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS is a neurology psychiatry neurology in Fayetteville, AR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS NPI is 1487604773. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Consultants In Neurology.

The provider's business location address is:

3336 N FUTRALL DR
FAYETTEVILLE, AR
ZIP 72703-057
Phone: (479) 571-4541
Fax: (479) 251-1911

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 5/10/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15F593OTHERARKANSASAR BC/BS
2161631002MEDICAIDARKANSAS

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: 4/28/2024

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