Individual
DR. GARRY LEROY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1545 HOGAN LANE, CONWAY, AR 72034-1349
(501) 513-1225
(501) 513-1228
Mailing address
P.O. BOX 11349, CONWAY, AR 72034-1349
(501) 513-1225
(501) 513-1228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3431
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148117001
—
AR
Enumeration date
05/27/2005
Last updated
01/15/2010
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