Individual
MICHAEL DONALD STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 W RAVINE RD, KINGSPORT, TN 37660-3868
(423) 245-6161
(423) 245-8915
Mailing address
430 W RAVINE RD, KINGSPORT, TN 37660-3868
(423) 245-3161
(423) 245-8915
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
71129
TN
Other
Enumeration date
03/24/2019
Last updated
09/04/2024
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