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Individual

DR. STACY LYNN MCFAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
207 DOMINION DRIVE APPLEHEAD ISLAND, MARBLE FALLS, TX 78657-7078
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LANE, SUITE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
H9518
TX
2085R0202X
Diagnostic Radiology Physician
5392438-1204
UT
2085R0202X
Diagnostic Radiology Physician
Primary
H9518
TX

Other

Enumeration date
07/19/2005
Last updated
06/23/2015
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