Individual
MR. ADAM STEFAN STIBICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3633 CENTRAL AVE, STE N, HOT SPRINGS, AR 71913-6404
(501) 623-6100
(501) 623-6187
Mailing address
3633 CENTRAL AVE, STE N, HOT SPRINGS, AR 71913-6404
(501) 623-6100
(501) 623-6187
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E2886
AR
207ND0101X
MOHS-Micrographic Surgery Physician
E2886
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143844001
—
AR
01
—
18885000000
QUALCHOICE
AR
01
—
7237284
AETNA
—
01
—
E2886
STATE LICENSE
AR
Enumeration date
07/29/2005
Last updated
08/20/2025
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