Individual
SANDRA CAROLE STUBBLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8170 US HIGHWAY 49N, BROOKLAND, AR 72417
(870) 936-8000
(870) 932-1293
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 932-1293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-7544
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080045762
RAILROAD MEDICARE
—
05
—
119256001
—
AR
Enumeration date
06/16/2006
Last updated
10/19/2018
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