TIMOTHY C STALLARD

LENEXA, KS
NPI1679536148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: KS  1500547)
Enumeration Date2006-04-07
Last Update Date2013-10-30
Business Address
Mr. TIMOTHY C STALLARD PA
23401 PRAIRIE STAR PKWY SUITE 300
LENEXA, KS 66227-7268
Phone number: 913-677-6319
Mailing Address
Mr. TIMOTHY C STALLARD PA
23401 PRAIRIE STAR PKWY SUITE 300
LENEXA, KS 66227-7268
Phone number: 913-677-6319
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