Organization
STAN W BURLESON MD PA
Active
Other names
BURLESON FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY WAYNE BURLESON MD (OWNER)
(870) 946-1326
Entity
Organization
Contact information
Practice address
705 W 16TH ST, DE WITT, AR 72042-3414
(870) 946-1326
(870) 946-4577
Mailing address
PO BOX 32, DE WITT, AR 72042-0032
(870) 233-2214
(870) 946-4577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
06/29/2023
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