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Individual

THOMAS M STANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 935-6396
(870) 935-1469
Mailing address
601 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 935-6396
(870) 935-1469

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
N8184
AR
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
N8184
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120592001
AR
01
180014251
RAILROAD MEDICARE
AR
01
203329909
MISSOURI MEDICAID
MO
01
550247933
MEDICARE ID-TYPE UNSPECIFIED
AR
Enumeration date
07/28/2006
Last updated
10/10/2023
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