Stanford, Royce Allan
Stanford, Royce Allan is an individual health care provider with primary practice located at 2301 Springhill Rd Suite 200, Benton AR 72015-7552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stanford, Royce Allan can be contacted via phone (501) 315-0078.Contact Information
Primary practice address
2301 Springhill Rd Suite 200
Benton AR 72015-7552
Phone: (501) 315-0078
Fax: (501) 943-3016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C-5980 | Arkansas |
Profile Details
| NPI number | 1578525085 |
|---|---|
| LBN Legal business name | Stanford, Royce Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jan 7th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578525085 | NPPES |
| Arkansas | MEDICAID | 105904001 | |
| Arkansas | Other | 55089 | |
| Arkansas | Other | 11300000000 | |
| Arkansas | Other | 1220097 | |
| Arkansas | Other | 4203731 |
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