Northwest Arkansas Gastroenterology Clinic PA

NPI #1770634065 in Lowell, Arkansas

Provider Information

NPI Number: 1770634065
Entity Type: Organization
Organization Name: Northwest Arkansas Gastroenterology Clinic PA
Primary Specialty: Specialist
Enumeration Date: Jan 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 116 W MONROE AVE
City: Lowell
State: Arkansas
ZIP Code: 72745-9682
Phone: (479) 770-8090

Authorized Official

Name: MRS. LENEVA JENELL FERGUSON
Title: CLINIC MANAGER
Phone: (479) 770-2135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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