Individual
MR. TROY E STIEFVATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11401 INTERSTATE 30, LITTLE ROCK, AR 72209-7042
(501) 455-7100
Mailing address
PO BOX 22390, HOT SPRINGS, AR 71903-2390
(800) 235-1415
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01310
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W501
BCBS
AR
01
—
P00266924
RR MEDICARE GROUP CK6327
—
Enumeration date
10/11/2005
Last updated
03/28/2008
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