Individual
DR. ROBERT LAWRENCE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 SPRINGHILL DR STE 100, NORTH LITTLE ROCK, AR 72117-2949
(501) 955-5589
(501) 955-5960
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7215
(501) 955-5960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C7540
AR
207QA0505X
Adult Medicine Physician
C7540
AR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
C7540
AR
207R00000X
Internal Medicine Physician
Primary
C7540
AR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
C7540
AR
207RN0300X
Nephrology Physician
C7540
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110190364
RR MCARE PROVIDER NUMBER
AR
01
—
11243000000
QUALCHOICE PROVIDER NUMBE
AR
05
—
121551001
—
AR
01
—
420280
UNITED HEALTHCARE NUMBER
AR
01
—
5487062
AETNA PROVIDER NUMBER
AR
Enumeration date
12/15/2005
Last updated
05/20/2021
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