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1124588249
MICHAEL DONALD STALLARD
KINGSPORT, TN
NPI
1124588249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: TN 71129)
Enumeration Date
2019-03-24
Last Update Date
2024-09-04
Business Address
MICHAEL DONALD STALLARD MD
430 W RAVINE RD
KINGSPORT, TN 37660-3868
Phone number: 423-245-6161
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Mailing Address
MICHAEL DONALD STALLARD MD
430 W RAVINE RD
KINGSPORT, TN 37660-3868
Phone number: 423-245-3161
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