NPI 1215227764 · live from the CMS NPI Registry
Medical Associates Of Northwest Arkansas PA
Radiology, Diagnostic Radiology in Bentonville, AR. National Provider Identifier 1215227764, active.
NPI record
| NPI | 1215227764 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 801 Se Plaza Ave Ste 5, Bentonville, AR 72712 |
| Practice phone | 479-571-0084 |
| Mailing address | Po Box 1523, Fayetteville, AR 72702 |
| Enumerated | April 18, 2011 |
| Last updated | April 16, 2024 |
| Authorized official | Terry Hurt, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.