Organization
THE DERMATOLOGY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP CRAIG STITES MD (PRESIDENT)
(479) 242-6647
Entity
Organization
Contact information
Practice address
7900 DALLAS STREET, FORT SMITH, AR 72903-5690
(479) 242-6647
(479) 250-0505
Mailing address
7900 DALLAS ST, FORT SMITH, AR 72903-5690
(479) 242-6647
(479) 250-0505
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E-2778
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176760002
—
AR
Enumeration date
01/16/2009
Last updated
03/06/2023
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