GREY FOX ANESTHESIA, P.A.
Medical Practice at Futrall Dr, Fayetteville, AR

License number
Arkansas MC-2260
Category
Medical Practice
Type
Specialist
Owner
Name: DR. SANDRA L STOLZY M.D.
Title: OWNER
Phone: (479) 582-1938
Address
Address
3396 N Futrall Dr SUITE 1, Fayetteville, AR 72703
National Provider ID: 1659324606
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREY FOX ANESTHESIA, PA

Fayetteville, AR

Status:
Inactive
Registration:
Feb 13, 2003
Addresses:
PO Box 9477, Fayetteville, AR 72703 (Physical)
3396 N Futrall Dr SUITE 1, Fayetteville, AR 72703 (Physical)
State ID:
800004457
Business type:
For Profit Corporation
Secretarys:
Walton W. Grote (Incorporator/Organizer),Roger W. Griffin (Tax Preparer),Sandra L. Stolzy (Secretary)
Agent:
Walton Grote,3396 N Futrall Dr SUITE 1, Fayetteville, AR 72703 (Physical)
Filled under act:
Dom Prof Corp; 155 of 1963

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