The Stough Clinic Of Dermatology

LBN: The Dermatology Clinic Pa
The Stough Clinic Of Dermatology is an health care organization with primary practice located at 3633 Central Ave Ste N, Hot Springs AR 71913-6404. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. The Dermatology Clinic Pa can be contacted via phone (501) 623-6100, or through Stibich, Adam S via phone (501) 623-6100.

Contact Information

Primary practice address
3633 Central Ave Ste N Hot Springs AR 71913-6404
Phone: (501) 623-6100
Fax: (501) 623-6187
Website:
Map and Directions
Authorized official contact:
Name: Stibich, Adam S Doctor of Medicine (MD)
Phone: (501) 623-6100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1225020852
LBN Legal business name The Dermatology Clinic Pa
DBA Doing business as The Stough Clinic Of Dermatology
Authorized official Stibich, Adam S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2005
Last updated Sep 8th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225020852 NPPES
Arkansas MEDICAID 120956002

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