Stan W Burleson MD PA

NPI #1063104164 in De Witt, Arkansas

Provider Information

NPI Number: 1063104164
Entity Type: Organization
Organization Name: Stan W Burleson MD PA
Primary Specialty: Family Medicine
Enumeration Date: May 25, 2023
Last Updated: Jun 29, 2023

Practice Location

Address: 705 W 16TH ST
City: De Witt
State: Arkansas
ZIP Code: 72042-3414
Phone: (870) 946-1326

Authorized Official

Name: DR. STANLEY WAYNE BURLESON, MD
Title: OWNER
Phone: (870) 946-1326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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