Individual
VINCENT STITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13732 SMARTY JONES DR, SCOTT, AR 72142-9547
(501) 647-0522
Mailing address
13732 SMARTY JONES DR, SCOTT, AR 72142-9547
(501) 647-0522
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
934432767
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
934432767
DRIVER
AR
Enumeration date
03/02/2021
Last updated
03/02/2021
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