Organization
CORPORATE MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP S STONE MD (OWNER)
(501) 208-6088
Entity
Organization
Contact information
Practice address
505 INDUSTRIAL BLVD, SUITE 3, CONWAY, AR 72032-7825
(501) 328-5885
(501) 328-5886
Mailing address
505 DAVE WARD DRIVE, SUITE 3, CONWAY, AR 72032-7825
(501) 328-5885
(501) 328-5886
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
MC-2506
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC-2506
MEDICAL BOARD CERTIFICATE
AR
Enumeration date
08/03/2006
Last updated
08/22/2020
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