MS. Stacy Ann Harris

NPI #1538444583 in Benton, Arkansas

Provider Information

NPI Number: 1538444583
Entity Type: Individual
Name: MS. Stacy Ann Harris
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Oct 20, 2011
Last Updated: Oct 20, 2011

Practice Location

Address: 403 DEMUTH LANE
City: Benton
State: Arkansas
ZIP Code: 72019
Phone: (501) 315-1772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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