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NPI Code Detail

MEDICARE: MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

MEDICARE: MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1912397944
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Provider Business Mailing Address
First Line : PO BOX 1523
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72702-1523
Country : US
Telephone Number : 479-571-6038
Fax Number : 479-582-0222
Provider Business Practice Location Address
First Line : 3561 JOHNSON MILL BLVD STE 101
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-5065
Country : US
Telephone Number : 479-571-8400
Fax Number :
Authorized Official
Title or Position : CFO
Name : TERRY HURT
Credential :
Telephone Number : 479-571-6780
Provider Enumeration Date : 01/29/2015
Last Update Date : 12/15/2025

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Directions to “MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA ” Practice Location

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