Individual
STANLEY LOUIS REYENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1311 SOUTH I ST., ER DEPT., FT. SMITH, AR 72901
(479) 441-5011
(405) 749-4561
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C4992
AR
Other
Enumeration date
03/31/2006
Last updated
11/12/2007
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