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NPI Code Detail

MEDICARE: DR. STACY L ULMER-PINTER M.D.

MEDICARE: DR. STACY L ULMER-PINTER M.D.
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
1207V00000XObstetrics & Gynecology PhysicianE2226AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316031040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STACY L ULMER-PINTER M.D.
Provider Business Mailing Address
First Line : 315 ROCK ST APT 1105
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-5527
Country : US
Telephone Number : 501-840-7900
Fax Number :
Provider Business Practice Location Address
First Line : 315 ROCK ST APT 1105
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-5527
Country : US
Telephone Number : 501-840-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/06/2021

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