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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821085887 NPPES
Arkansas MEDICAID 142944001

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