Individual
DR. MARK ALLEN STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3630 GUION RD, INDIANAPOLIS, IN 46222-1616
(317) 920-7280
(317) 920-7284
Mailing address
3630 GUION RD, INDIANAPOLIS, IN 46222-1616
(317) 920-7280
(317) 920-7284
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11015131A
IN
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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