MR. Timothy C Stallard, PA

NPI #1679536148 in Lenexa, Kansas

Provider Information

NPI Number
1679536148
Entity Type
Individual
Name
MR. Timothy C Stallard, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Apr 7, 2006
Last Updated
Mar 24, 2025

Practice Location

Address
23401 PRAIRIE STAR PKWY
Address 2
SUITE 300
City
Lenexa
State
Kansas
ZIP Code
66227-7268
Phone
(913) 677-6319

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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