Stills, David A

Stills, David A is an individual health care provider with primary practice located at 624 Hospital Dr , Mountain Home AR 72653-2955. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Stills, David A can be contacted via phone (870) 508-1000.

Contact Information

Primary practice address
624 Hospital Dr Mountain Home AR 72653-2955
Fax: (870) 424-3089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C-8310 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C8310 Arkansas

Profile Details

NPI number 1154311595
LBN Legal business name Stills, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154311595 NPPES
Arkansas MEDICAID 126288001

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