Stites, Phillip C
Stites, Phillip C is an individual health care provider with primary practice located at 7900 Dallas Street , Fort Smith AR 72903-5690. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Stites, Phillip C can be contacted via phone (479) 242-6647.Contact Information
Primary practice address
7900 Dallas Street
Fort Smith AR 72903-5690
Phone: (479) 242-6647
Fax: (479) 250-0505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | E2778 | Arkansas |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | E2778 | Arkansas |
Profile Details
NPI number | 1821085887 |
---|---|
LBN Legal business name | Stites, Phillip C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2005 |
Last updated | Feb 4th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821085887 | NPPES |
Arkansas | MEDICAID | 142944001 |
Popular Providers
-
Rosenfeld, Thomas Lee
5 Neponset St , Worcester MA 01606-2714 -
John, Michael D
620 W 15Th St , Edmond OK 73013-3617 -
Lewis, George Luke
7900 Dallas Street , Fort Smith AR 72903-5690 -
Payne, Amy Ruth
107 Haywood Park Dr , Clyde NC 28721 -
Gette, Michael T
2201 Forest Hills Dr , Harrisburg PA 17112-1089 -
Severns, Cyril E
7900 Dallas St , Fort Smith AR 72903-5690 -
Buescher, Lucinda S
751 N Rutledge St , Springfield IL 62702-4909 -
Wadlington, Katie Clark
5921 Riley Park Dr , Fort Smith AR 72916-6103