| Organization Name: | NORTHWEST PHYSICIANS LLC |
| NPI Number: | 1194768721 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOYCE MORTENSEN (DIRECTOR) |
| Mailing Address: | 601 W Maple Ave Ste 707 Springdale |
| State: | AR US |
| Postal Code: | 727645378 |
| Phone Number: | 4797578050 |
| Fax Number: | 4797572998 |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 09/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |