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Individual

DR. ADAM L. SIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(794) 443-4301
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2017006926
MO
2085R0202X
Diagnostic Radiology Physician
Primary
E-11126
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200041366
MO
05
223065001
AR
05
ENROLLED
IL
Enumeration date
06/12/2012
Last updated
09/20/2023
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