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Organization
STANCIL RANEY MEDICINE PA
Active
Organization
STANCIL RANEY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI L STANCIL M.D. (PRESIDENT)
(501) 327-3344
Entity
Organization
Contact information
Practice address
1475 HOGAN LN, SUITE #121, CONWAY, AR 72034-8287
(501) 327-3344
(501) 327-2998
Mailing address
1475 HOGAN LN, SUITE #121, CONWAY, AR 72034-8287
(501) 327-3344
(501) 327-2998
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
C6670
AR
207R00000X
Internal Medicine Physician
C6656
AR
Other
Enumeration date
02/05/2006
Last updated
06/22/2011
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