NPI 1114482379 · live from the CMS NPI Registry
Medical Associates Of Northwest Arkansas PA
Internal Medicine, Gastroenterology in Fayetteville, AR. National Provider Identifier 1114482379, active.
NPI record
| NPI | 1114482379 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 3344 N Futrall Dr Ste B, Fayetteville, AR 72703 |
| Practice phone | 479-521-8200 |
| Mailing address | Po Box 1523, Fayetteville, AR 72702 |
| Enumerated | February 1, 2019 |
| Last updated | January 17, 2024 |
| Authorized official | Terry Hurt, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.