Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 51776 | WI |
N | 207RH0003X | Hematology & Oncology | TP925 | KY |
Y | 207RX0202X | Medical Oncology | E-13285 | AR |
NPI | 1033123195 |
---|---|
Provider Name | Stephen R. Toothaker |
First Address | Searcy, AR 72143-7434 |
Second Address | Searcy, AR 72143-7434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 18/11/2020 |