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Individual

MR. STEPHEN SAMUEL PIROTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
903 SE 22ND ST, SUITE 1, BENTONVILLE, AR 72712-4196
(479) 271-5353
(479) 254-0698
Mailing address
903 SE 22ND ST, SUITE 1, BENTONVILLE, AR 72712-4196
(479) 271-5353
(479) 254-0698

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
133
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114047438
NPI
AR
05
129007717
AR
01
480033075
RR MCR
Enumeration date
07/21/2005
Last updated
04/04/2011
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