NPI 1053313056

Thaddeus Michael Stanton, MD

Practitioner Surgery Physician Conway, AR

Practice location

Address: 525 Western Ave Suite 203, Conway, AR 72034-4967
Phone: (501) 327-4828
Fax: (501) 327-6899

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence C6890 (AR)

Other Surgery providers in Arkansas →

Registry record

NPI: 1053313056
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2005
Record last updated: 18 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.