Individual
STEPHANIE STANLEY MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3737 W WALNUT ST, ROGERS, AR 72756-1839
(479) 246-1700
(479) 631-2629
Mailing address
3737 W WALNUT ST, ROGERS, AR 72756-1839
(479) 246-1700
(479) 631-2629
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2763
AR
152W00000X
Optometrist
2955
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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