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NPI Profile for NWA ADVANCED MEDICINE PA in FAYETTEVILLE, AR.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Neurological Surgery |
207T00000X | 02 | Physician/General Surgery | |
Neuromusculoskeletal Medicine & OMM |
204D00000X | 12 | Physician/Osteopathic Manipulative Medicine |
| NPI Number | 1902147689 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/06/2013 | |
| Last updated | 03/06/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NWA ADVANCED MEDICINE P.A.