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NPI Code Detail

MEDICARE: STANLEY STRICKLAND MD

MEDICARE: STANLEY STRICKLAND MD
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
1207L00000XAnesthesiology PhysicianE-4118AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3771003701OTHERARARKANSAS BREASTCARE

General Provider Information

NPI Number : 1821074774
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY STRICKLAND MD
Provider Business Mailing Address
First Line : PO BOX 1867
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72702-1867
Country : US
Telephone Number : 918-664-9892
Fax Number : 918-664-2521
Provider Business Practice Location Address
First Line : 3215 N NORTHHILLS BLVD
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-4424
Country : US
Telephone Number : 918-664-9892
Fax Number : 918-664-2521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 02/10/2012

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Directions to “ STANLEY STRICKLAND MD” Practice Location

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