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Contact Information

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
3336 N FUTRALL DR
FAYETTEVILLE, AR72703-4057
 Phone: 479-571-4541
 Fax: 479-571-4340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA · (Female)

NPI Number 1235182064
Status Active
Credentials
Entity Individual
Enumeration date 05/19/2006
Last updated 04/11/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 160068002
  • AR Other 5F503 AR BLUE CROSS/BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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