Mal J Stokes
Individual provider Active NPI Contractor · West Helena, AR
NPI 1942496476 · NPPES record last updated Sep 18, 2007
Key facts
- NPI
- 1942496476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 509 Cleburne Ave
West Helena, AR 72390-3025 - Phone
- (870) 572-3516
- NPI assigned
- Sep 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
509 Cleburne Ave
West Helena, AR 72390-3025
Mailing address
PO Box 402
Helena, AR 72342-0402
Phone (870) 572-3516
Other providers in West Helena, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.