Whalio Doctors

NPI 1780697433

Northwest Arkansas Primary Care Physicians, PA

Organisation Preferred Provider Organization Bentonville, AR

Practice location

Address
3400 SE Macy Rd STE 18, Bentonville, AR 72712-7841
Phone
(479) 845-0880

Authorised official

Name
Bret Raymond
Title
Director of Sales/Operations
Phone
(479) 845-0880

Registered specialties

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X

Registry record

NPI
1780697433
Entity type
Organization
NPI issued
14 Aug 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.