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NORTHWEST ARKANSAS GASTROENTEROLOGY CLINIC PA NPI 1770634065


NPI Information

NPI: 1770634065
Provider Name: NORTHWEST ARKANSAS GASTROENTEROLOGY CLINIC PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
116 W MONROE AVE
LOWELL, AR
ZIP 72745
Phone: (479) 770-8090
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NORTHWEST ARKANSAS GASTROENTEROLOGY CLINIC PA is a specialist in Lowell, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHWEST ARKANSAS GASTROENTEROLOGY CLINIC PA NPI is 1770634065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

116 W MONROE AVE
LOWELL, AR
ZIP 72745-682
Phone: (479) 770-8090
Fax: (479) 770-8062

The provider's authorized official is Leneva Jenell Ferguson .
The authorized official title is Clinic Manager and has the following contact phone number (479) 770-2135.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 8/22/2020.


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
1174400000XSpecialistYes

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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