| NPI | 1922775915 |
|---|---|
| Other Name | MANA FM SOUTHWEST BENTONVILLE |
| Entity Type | Organization |
| Authorized Contact | TERRY HURT CFO 479-571-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-01-17 |