Individual
DR. STEPHANIE MICHELLE PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3215 N. NORTH HILLS BLVD., FAYETTEVILLE, AR 72703
(479) 463-7102
(479) 463-5987
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-8016
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2010
Last updated
09/16/2020
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