| Doctor Name: | MR. CHARLES MARTIN STEWART |
| NPI Number: | 1770803447 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 18003 S Alexander Rd Alexander, AR - 720022391 |
| Business Phone Number: | 5015172141 |
| Business Fax Number: | |
| Mailing Address: | 18003 S Alexander Rd, ALEXANDER |
| State: | AR |
| Postal Code: | 720022391 |
| Phone Number: | 5015172141 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2010 |
| NPI Last Update Date: | 06/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |