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Individual

DR. STEPHANIE E FRISBIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
620 BROADWAY ST, VAN BUREN, AR 72956-5830
(479) 474-5061
(479) 922-2007
Mailing address
620 BROADWAY ST, VAN BUREN, AR 72956-5830
(479) 474-5061
(479) 922-2007

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2242
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04D1061540
CLIA
AR
05
137766001
AR
05
200014700A
OK
01
5L241
BLUE CROSS
AR
01
E2242
ARKANSAS STATE LICENSE
AR
Enumeration date
10/06/2005
Last updated
03/07/2023
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