Thaddeus Michael Stanton, M.D.

NPI #1053313056 in Conway, Arkansas

Provider Information

NPI Number
1053313056
Entity Type
Individual
Name
Thaddeus Michael Stanton, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery
Credential
M.D.
Enumeration Date
Aug 10, 2005
Last Updated
Nov 18, 2009

Practice Location

Address
525 WESTERN AVE
Address 2
SUITE 203
City
Conway
ZIP Code
72034-4967
Phone
(501) 327-4828

Specialties & Taxonomy Codes

Specialty
Surgery

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