Provider Demographics
NPI:1255336194
Name:JOSEF, STANLEY STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:STEPHEN
Last Name:JOSEF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 21850
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-1850
Mailing Address - Country:US
Mailing Address - Phone:501-624-6641
Mailing Address - Fax:501-321-4890
Practice Address - Street 1:200 HEARTCENTER LN
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6351
Practice Address - Country:US
Practice Address - Phone:501-624-6641
Practice Address - Fax:501-321-4890
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-0677207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR060032146OtherRAILROAD MEDICARE
AR127866001Medicaid
AR5J779OtherBCBS OF AR
AR5J779OtherBCBS OF AR
ARC88156Medicare UPIN