Doctor Name: | VANCE STOCK |
NPI Number: | 1255369286 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | E0324 |
Business Practice Address: | 205 E Jefferson St Siloam Springs, AR - 727613629 |
Business Phone Number: | 4795244141 |
Business Fax Number: | 4795492576 |
Mailing Address: | 205 E Jefferson St, SILOAM SPRINGS |
State: | AR |
Postal Code: | 727613629 |
Phone Number: | 4795244141 |
Fax Number: | 4795492576 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 09/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | E0324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |