National Provider Identifier Database

NWA ADVANCED MEDICINE PA
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

NWA ADVANCED MEDICINE P.A.
2035 N COLLEGE AVE
SUITE 1
FAYETTEVILLE, AR72703-2613
Phone: 479-571-2273
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Neurological Surgery 207T00000X
Neuromusculoskeletal Medicine & OMM 204D00000X

* Indicates primary specialty

NPI Profile & details for NWA ADVANCED MEDICINE P.A.

NPI Number 1902147689
Legal business name
LBN
NWA ADVANCED MEDICINE P.A.
Authorized official RODNEY ROUTSONG - (PRES)
Entity Organization
Organization subpart No
Enumeration date 03/06/2013
Last updated 03/06/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: E4245

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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