Vance Stock, MD | |
205 E Jefferson St, Siloam Springs, AR 72761-3629 | |
(479) 524-4141 | |
(479) 549-2576 |
Full Name | Vance Stock |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 205 E Jefferson St, Siloam Springs, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255369286 | NPI | - | NPPES |
1255369286 | Medicaid | MO | |
100217430A | Medicaid | OK | |
129450001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | E0324 (Arkansas) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
Mailing Address | Practice Location Address |
---|---|
Vance Stock, MD 205 E Jefferson St, Siloam Springs, AR 72761-3629 Ph: (479) 524-4141 | Vance Stock, MD 205 E Jefferson St, Siloam Springs, AR 72761-3629 Ph: (479) 524-4141 |
Dr. Walter L. Mulchin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 22455 Oakview Rd, Siloam Springs, AR 72761 Phone: 479-238-1010 | |
David Scott Ureckis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 E Jefferson St, Siloam Springs, AR 72761 Phone: 479-524-4141 | |
Robert V Maul Jr., DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 E Jefferson St, Siloam Springs, AR 72761 Phone: 479-524-4141 Fax: 479-549-2576 |