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Individual

DR. THOMAS E ST AMOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9500 KANIS RD STE 330, LITTLE ROCK, AR 72205-6339
(501) 202-4900
(501) 202-4915
Mailing address
9500 KANIS RD STE 330, LITTLE ROCK, AR 72205-6339
(501) 202-4900
(501) 202-4915

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
N-7434
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114497001
AR
01
516596945
MEDICARE ID
AR
Enumeration date
05/24/2006
Last updated
06/02/2023
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