Organization
GREY FOX ANESTHESIA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA L STOLZY M.D. (OWNER)
(479) 582-1938
Entity
Organization
Contact information
Practice address
3396 N FUTRALL DR, SUITE 1, FAYETTEVILLE, AR 72703-4057
(479) 582-1938
(479) 582-0484
Mailing address
PO BOX 9477, FAYETTEVILLE, AR 72703-0025
(479) 582-1938
(479) 587-0484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MC-2260
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149447002
—
AR
Enumeration date
05/19/2006
Last updated
06/03/2009
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