# STANCIL RANEY MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770555625
- **Authorized official:** DR. VICKI L STANCIL M.D. (PRESIDENT)
- **Authorized official phone:** (501) 327-3344

## Contact information

- **Practice address:** 1475 HOGAN LN, SUITE \#121, CONWAY, AR 72034-8287
- **Practice address phone:** (501) 327-3344
- **Practice address fax:** (501) 327-2998
- **Mailing address:** 1475 HOGAN LN, SUITE \#121, CONWAY, AR 72034-8287
- **Mailing address phone:** (501) 327-3344
- **Mailing address fax:** (501) 327-2998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | C6670 | AR | Yes |
| 207R00000X | Internal Medicine Physician | C6656 | AR | — |

## Other

- **Enumeration date:** 02/05/2006
- **Last updated:** 06/22/2011