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TIMOTHY STALLARD, PA

PA

Surgical Physician Assistant

NPI: 1679536148Individual

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

1500547(KS)

CMS Specialties

Education

OTHER

Class of 1994

Contact & Hours

Address
23401 PRAIRIE STAR PKWY
LENEXA, KS 66227

Quick Facts

NPI
1679536148
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1
Years in Practice
32

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