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Organization
GARRY STEWART MD PA
Active
Organization
GARRY STEWART MD PA
Active
Parent organization
GARRY STEWART MD PA
Other names
Valley Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARRY STEWART MD PA
Authorized official
DR. GARRY STEWART M.D. (PRESIDENT)
(501) 513-1225
Entity
Organization
Contact information
Practice address
1545 HOGAN LANE, CONWAY, AR 72034-1349
(501) 513-1225
(501) 513-1228
Mailing address
P.O. BOX 11349, CONWAY, AR 72034-1349
(501) 513-1225
(501) 513-1228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3431
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154599001
—
AR
05
—
154599002
—
AR
Enumeration date
04/16/2008
Last updated
02/04/2010
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