Organization · Type 2 NPI

Nwa Advanced Medicine P.a.

General Practice Physician · Fayetteville, AR

NPI number 1902147689 Active

Practice location

2035 N College Ave, Suite 1
Fayetteville, AR 72703-2613

Mailing address

PO Box 698
Fayetteville, AR 72702-0698

Specialties and licenses

TaxonomyCodeLicense
Neuromusculoskeletal Medicine & OMM Physician 204D00000XE4245 (AR)
Neurological Surgery Physician 207T00000XE4245 (AR)
General Practice Physician Primary 208D00000XE4245 (AR)

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

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About NPI 1902147689

Nwa Advanced Medicine P.a.'s National Provider Identifier is 1902147689, issued on Mar 6, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fayetteville, AR. The record was last updated on Mar 6, 2013.