MEDICARE: DR. STACY L ARMSTRONG D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	E-3883	AR

General Provider Information

NPI Number	:	1144291816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STACY L ARMSTRONG D.O.

Provider Business Mailing Address
First Line	:	PO BOX 707
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72654-0707
Country	:	US
Telephone Number	:	870-424-7040
Fax Number	:	870-246-6616

Provider Business Practice Location Address
First Line	:	715 W SHERMAN AVE STE G
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-2737
Country	:	US
Telephone Number	:	870-741-8247
Fax Number	:	870-741-3933

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	02/28/2025

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