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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 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
Indicates primary specialty

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

NPI Number 1902147689
LBN Legal business name NWA ADVANCED MEDICINE P.A.
Authorized official RODNEY ROUTSONG - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2013
Last updated 03/06/2013 - About 13 years ago
Identifiers
AR License # E4245
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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