Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | E2271 | AR |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | E2271 | AR |
NPI | 1568427573 |
---|---|
Provider Name | Dr. Jason Garner Stewart |
First Address | North Little Rock, AR 72117-2525 |
Second Address | Little Rock, AR 72205-5412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 01/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
139021001 | (05) | AR |
H02488 | (02) |