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MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA

Allergy and Immunology

Fayetteville, Arkansas

Provider NPI: 1801847827

Organization Information:
Organization Name:  MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA


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

Business Mailing Address:
  ,   
Tel: --  Fax: --


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
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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