NORTHWEST ARKANSAS UROLOGY ASSOCIATES, PLLC
Urology at Zion Rd, Fayetteville, AR

License number
Arkansas MC-2938
Category
Radiology
Type
Urology
Owner
Name: DR. MICHAEL R WILSON MD
Title: PRESIDENT
Phone: (479) 521-8980
Address
Address
1300 E Zion Rd, Fayetteville, AR 72703
National Provider ID: 1720418213
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTHWEST ARKANSAS UROLOGY ASSOCIATES, PLLC

226 W Dickson St SUITE 201, Fayetteville, AR 72701

Status:
Inactive
Registration:
Dec 5, 2012
State ID:
811025203
Business type:
Limited Liability Company
Incorporator/Organizer:
Michael R. Wilson (Incorporator/Organizer)
Agent:
James W. Smith,226 W Dickson St SUITE 201, Fayetteville, AR 72701 (Physical)
Filled under act:
Domestic LLC; 1003 of 1993

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