Individual
VANCE STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 E JEFFERSON ST, SILOAM SPRINGS, AR 72761-3629
(479) 524-4141
(479) 549-2576
Mailing address
205 E JEFFERSON ST, SILOAM SPRINGS, AR 72761-3629
(479) 524-4141
(479) 549-2576
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
E0324
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217430A
—
OK
05
—
1255369286
—
MO
05
—
129450001
—
AR
Enumeration date
06/29/2006
Last updated
09/24/2009
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