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1053313056
THADDEUS MICHAEL STANTON
CONWAY, AR
NPI
1053313056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AR C6890)
Enumeration Date
2005-08-10
Last Update Date
2009-11-18
Business Address
THADDEUS MICHAEL STANTON M.D.
525 WESTERN AVE SUITE 203
CONWAY, AR 72034-4967
Phone number: 501-327-4828
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Mailing Address
THADDEUS MICHAEL STANTON M.D.
525 WESTERN AVE SUITE 203
CONWAY, AR 72034-4967
Phone number: 501-327-4828
Copy
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