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
| Taxonomy | Code | License |
|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | E4245 (AR) |
| Neurological Surgery Physician | 207T00000X | E4245 (AR) |
| General Practice Physician Primary | 208D00000X | E4245 (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.