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The Dermatology Center PLLC

Dermatology in Fort Smith, AR. Organization (NPI-2).

NPI number1376780098
StatusActive
Last updated in NPPESMar 6, 2023

Details

NPI
1376780098
Entity type
Organization (NPI-2)
Legal business name
The Dermatology Center PLLC
Organization subpart
No
Enumeration date
Jan 16, 2009
Certification date
Mar 6, 2023
Last updated
Mar 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X DermatologyE-2778ARYes

Practice location

7900 Dallas Street
Fort Smith, AR 72903-5690

Phone 479-242-6647 · Fax 479-250-0505

Mailing address

7900 Dallas St
Fort Smith, AR 72903-5690

Phone 479-242-6647 · Fax 479-250-0505

Authorized official

Phillip Craig Stites
President
4792426647

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