| Mana Fm Southwest Bentonville | |
|
701 Sw Regional Airport Blvd Bentonville AR 72713-4589 | |
| (479) 464-5590 | |
| (479) 464-5591 |
| Full Name | Mana Fm Southwest Bentonville |
|---|---|
| Speciality | Family Medicine |
| Location | 701 Sw Regional Airport Blvd, Bentonville, Arkansas |
| Authorized Official Name and Position | Terry Hurt (CFO) |
| Authorized Official Contact | 4795716780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mana Fm Southwest Bentonville Po Box 1523 Fayetteville AR 72702-1523 Ph: (479) 571-6038 | Mana Fm Southwest Bentonville 701 Sw Regional Airport Blvd Bentonville AR 72713-4589 Ph: (479) 464-5590 |
| NPI Number | 1922775915 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922775915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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